Provider Demographics
NPI:1255507125
Name:GREENLEE, RISHELLE DAWN (DO)
Entity Type:Individual
Prefix:DR
First Name:RISHELLE
Middle Name:DAWN
Last Name:GREENLEE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:RISHELLE
Other - Middle Name:DAWN
Other - Last Name:MEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:901 HEARTLAND RD
Mailing Address - Street 2:SUITE 4890
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-3460
Mailing Address - Country:US
Mailing Address - Phone:816-271-1200
Mailing Address - Fax:816-271-1220
Practice Address - Street 1:901 HEARTLAND RD
Practice Address - Street 2:SUITE 4890
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-3460
Practice Address - Country:US
Practice Address - Phone:816-271-1200
Practice Address - Fax:816-271-1220
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2017-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MO2016007353207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program