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NPI Code Detail

MEDICARE: MELANIE L SMOLEN MD

MEDICARE: MELANIE L SMOLEN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD 110558MO
2207Q00000XFamily Medicine Physician110558MO

General Provider Information

NPI Number : 1306817648
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE L SMOLEN MD
Provider Business Mailing Address
First Line : 8550 MARSHALL DR STE 220
Second Line :
City : LENEXA
State : KS
Zip : 66214-1505
Country : US
Telephone Number : 816-348-2260
Fax Number : 913-495-3751
Provider Business Practice Location Address
First Line : 7201 E 147TH ST
Second Line :
City : GRANDVIEW
State : MO
Zip : 64030-4204
Country : US
Telephone Number : 816-348-2260
Fax Number : 913-495-3751
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2006
Last Update Date : 11/02/2021

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Directions to “ MELANIE L SMOLEN MD” Practice Location

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