Healthcare Provider Details
I. General information
NPI: 1932462314
Provider Name (Legal Business Name): MELANIE R MEISTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/20/2012
Last Update Date: 08/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
KU WOMEN'S HEALTH SPECIALTY CENTERS 3901 RAINBOW BLVD., MS 2028
KANSAS CITY KS
66160
US
IV. Provider business mailing address
KU WOMEN'S HEALTH SPECIALTY CENTERS 3901 RAINBOW BLVD., MS 2028
KANSAS CITY KS
66160
US
V. Phone/Fax
- Phone: 913-588-6200
- Fax: 314-362-3328
- Phone: 913-588-6200
- Fax: 314-747-1429
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 2016006389 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: