Kovarik, Melanie Renee Shaw

Kovarik, Melanie Renee Shaw is an sole proprietor health care provider with primary practice located at 1400 E North Ave , Belton MO 64012-5110. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kovarik, Melanie Renee Shaw can be contacted via phone (866) 825-3227.

Contact Information

Primary practice address
1400 E North Ave Belton MO 64012-5110
Phone: (866) 825-3227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 14-80040-071 Kansas
Nursing Service Providers / General Practice 163WG0000X 096676 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 45403 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 096676 Missouri

Profile Details

NPI number 1821069980
LBN Legal business name Kovarik, Melanie Renee Shaw
Credentials ARNP, BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2006
Last updated Mar 16th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821069980 NPPES
Missouri MEDICAID 201019551

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