Provider Demographics
NPI:1508059239
Name:MCFARLIN, MELVIN L JR (MD)
Entity Type:Individual
Prefix:
First Name:MELVIN
Middle Name:L
Last Name:MCFARLIN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 BLUE PKWY
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64130-2807
Mailing Address - Country:US
Mailing Address - Phone:816-923-5800
Mailing Address - Fax:
Practice Address - Street 1:1638 W US HIGHWAY 24
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64050-2346
Practice Address - Country:US
Practice Address - Phone:816-627-2000
Practice Address - Fax:816-448-2925
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOPENDING207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1508059239Medicaid
KS200570620AMedicaid
KS200570620BMedicaid
MOT37000001Medicare PIN
MOP00610559Medicare PIN