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

Melinda Jean Dettenwanger, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1487166401

Melinda Jean Dettenwanger, CPNP-PC is a Pediatric Nurse Practitioner in Kansas City, Missouri. Licensed in Missouri. Registered with an NPI since 2017.

Licensed in
MO
In the registry since
2017

Practice location Address checks out

2401 Gillham Rd
Kansas City, MO 64108-4619
Phone: (816) 701-5200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 2017038336 (MO)

Record details

NPI number1487166401
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedOctober 31, 2017
Last updated in NPPESMarch 17, 2025
Certification dateMarch 1, 2025

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