Provider Demographics
NPI:1497774665
Name:GRIFFIN, MELINDA E (DC)
Entity Type:Individual
Prefix:DR
First Name:MELINDA
Middle Name:E
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:MELINDA
Other - Middle Name:E
Other - Last Name:TRUMP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:6871 W 91ST ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-1459
Mailing Address - Country:US
Mailing Address - Phone:913-381-0740
Mailing Address - Fax:913-381-0738
Practice Address - Street 1:6871 W 91ST ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-1459
Practice Address - Country:US
Practice Address - Phone:913-381-0740
Practice Address - Fax:913-381-0738
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4720111N00000X
KS01-04720111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS34116039OtherBLUE CROSS BLUE SHIELD #
KS4402260OtherUNITED HEALTH CARE #
KSR62D138Medicare ID - Type UnspecifiedPROVIDER NUMBER