Provider Demographics
NPI:1629304761
Name:CALDINO, MELISSA RENE' (PA-C, MS)
Entity Type:Individual
Prefix:MISS
First Name:MELISSA
Middle Name:RENE'
Last Name:CALDINO
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Gender:F
Credentials:PA-C, MS
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Mailing Address - Street 1:4000 CAMBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-8500
Mailing Address - Country:US
Mailing Address - Phone:913-588-9365
Mailing Address - Fax:913-588-9341
Practice Address - Street 1:4000 CAMBRIDGE STREET CT SURGERY DEPT
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8500
Practice Address - Country:US
Practice Address - Phone:913-588-9365
Practice Address - Fax:913-588-9341
Is Sole Proprietor?:No
Enumeration Date:2009-10-25
Last Update Date:2021-09-28
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Provider Licenses
StateLicense IDTaxonomies
KS15-01660363AS0400X
363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical