NPI 1093712903

Jennifer Rebecca Mellick, MD

Practitioner Pediatric Adolescent Medicine Physician Overland Park, KS

Practice location

Address: 7301 W 133rd St Suite 102, Overland Park, KS 66213-4750
Phone: (913) 888-4567
Fax: (913) 888-1277

Registered specialties

Pediatric Adolescent Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080A0000X Licence 04-30373 (KS)

Other Pediatrics providers in Kansas →

Registry record

NPI: 1093712903
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jul 2005
Record last updated: 7 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.