Individual
MELONIE B TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5516 CAENEN ST, SHAWNEE, KS 66216-1923
(816) 377-0189
Mailing address
5516 CAENEN ST, SHAWNEE, KS 66216-1923
(816) 377-0189
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2010028151
MO
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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