Individual provider · NPI-1

Melissa Acosta

Pediatrics · Wichita, KS

NPI number1669297859
StatusActive
Last updated in NPPESJun 19, 2026

Details

NPI
1669297859
Entity type
Individual (NPI-1)
Name
Melissa Acosta
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 21, 2024
Certification date
Jun 19, 2026
Last updated
Jun 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics94-12721KSYes
207R00000X Internal Medicine94-12721KS

Practice location

1010 N Kansas St
Wichita, KS 67214-3124

Phone 316-293-2635

Mailing address

1010 N Kansas St
Wichita, KS 67214-3124

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