Young, Melissa
Young, Melissa is an individual health care provider with primary practice located at 9100 W 74Th St , Shawnee Mission KS 66204-4004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Young, Melissa can be contacted via phone (913) 957-8076.Contact Information
Primary practice address
9100 W 74Th St
Shawnee Mission KS 66204-4004
Phone: (913) 957-8076
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 15-01399 | Kansas |
Profile Details
| NPI number | 1407161342 |
|---|---|
| LBN Legal business name | Young, Melissa |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2010 |
| Last updated | Apr 9th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407161342 | NPPES |
| Kansas | MEDICAID | 200673850A |
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