IndividualActive
Melissa Moddrell, PA-C
NPI 1376754044 · Surgical Physician Assistant · Kansas City, KS
Provider details
- NPI number
- 1376754044
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 085-002953 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4000 Cambridge St
Kansas City, KS 66160-3197
Phone: (913) 588-5000
Fax: (312) 695-1903
Approximate (ZIP-level) locationGet directions
Mailing address
4000 Cambridge St
Kansas City, KS 66160-3197
Registry dates
- Enumerated
- 2007-05-24
- Last updated
- 2023-04-20
- Certified
- 2023-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.