Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Melicien Tettambel, DO, SC

Organization Neuromusculoskeletal Medicine & OMM Physician · NPI 1912028861

Melicien Tettambel, DO, SC is a Neuromusculoskeletal Medicine & OMM Physician in Kirksville, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
2

Practice location Address checks out

1108 E Patterson St Ste 3
Kirksville, MO 63501-4002
Phone: (660) 627-5175
Fax: (660) 627-5180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence R9714 (MO)
Neuromusculoskeletal Medicine & OMM Physician Taxonomy 204D00000X · Licence R9714 (MO)

Record details

NPI number1912028861
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melicien Tettambel — Physician · (660) 627-5175
NPI enumeratedApril 2, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address1108 E Patterson St, Suite 3, Kirksville, MO 63501-4002

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