Individual
MELISSA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W 19TH TER, KANSAS CITY, MO 64108-2026
(816) 404-5790
(816) 404-0320
Mailing address
8015 FREEMAN AVENUE, KANSAS CITY, KS 66112
(913) 378-3030
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
2011017882
MO
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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