MELICIEN TETTAMBEL D.O. S.C. NPI 1912028861

NPI Information

  • NPI: 1912028861
  • Provider Name: MELICIEN TETTAMBEL, D.O., S.C.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 1108 E PATTERSON ST
    SUITE 3
    KIRKSVILLE, MO
    ZIP 63501
  • Phone: (660) 627-5175

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NPI Details

MELICIEN TETTAMBEL, D.O., S.C. is an obstetrics gynecology in Kirksville, MO. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MELICIEN TETTAMBEL, D.O., S.C. NPI is 1912028861. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1108 E PATTERSON ST
SUITE 3
KIRKSVILLE, MO
ZIP 63501-002
Phone: (660) 627-5175
Fax: (660) 627-5180

The provider's authorized official is Melicien Tettambel .
The authorized official title is Physician and has the following contact phone number (660) 627-5175.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204D00000XNeuromusculoskeletal Medicine & OMMR9714MISSOURINo
2207V00000XObstetrics & GynecologyR9714MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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