Provider Demographics
NPI:1306049010
Name:MENSER, MOLLY BEA (DO)
Entity type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:BEA
Last Name:MENSER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:221 W 48TH ST
Mailing Address - Street 2:#1507
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64112-2680
Mailing Address - Country:US
Mailing Address - Phone:913-956-9909
Mailing Address - Fax:
Practice Address - Street 1:1805 NW PLATTE RD
Practice Address - Street 2:SUITE 120
Practice Address - City:RIVERSIDE
Practice Address - State:MO
Practice Address - Zip Code:64150-9613
Practice Address - Country:US
Practice Address - Phone:816-472-0400
Practice Address - Fax:816-472-0813
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2011009214207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology