MELINDA JEAN DETTENWANGER

KANSAS CITY, MO
NPI1487166401
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MO  2017038336)
Enumeration Date2017-10-31
Last Update Date2025-03-17
Business Address
MELINDA JEAN DETTENWANGER CPNP-PC
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone number: 816-701-5200
Mailing Address
MELINDA JEAN DETTENWANGER CPNP-PC
725 KATHY LN
JEFFERSON CITY, MO 65109-9360
Phone number:
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