Individual provider · Type 1 NPI

Melissa L. Moddrell, PA-C

Surgical Physician Assistant · Kansas City, KS

NPI number 1376754044 Active

Practice location

4000 Cambridge St
Kansas City, KS 66160-3197

Fax (312) 695-1903

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X085-002953 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1376754044

Melissa L. Moddrell, PA-C's National Provider Identifier is 1376754044, issued on May 24, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Kansas City, KS. The record was last updated on Apr 20, 2023.