MEDICARE: MRS. ERICA MURPHY-MELSON PHLEBOTOMIST

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
1	246RP1900X	Phlebotomy Technician	81921	MO

General Provider Information

NPI Number	:	1629884929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERICA MURPHY-MELSON PHLEBOTOMIST

Provider Business Mailing Address
First Line	:	8615 CAMBRIDGE AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64138-2841
Country	:	US
Telephone Number	:	816-490-3266
Fax Number	:

Provider Business Practice Location Address
First Line	:	8615 CAMBRIDGE AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64138-2841
Country	:	US
Telephone Number	:	816-490-3266
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2024
Last Update Date	:	12/10/2024

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