| Dennis W. Miller M.d., P.a. | |
|
21 N 12th St Ste 350 Kansas City KS 66102-5161 | |
| (913) 371-1667 | |
| Not Available |
| Full Name | Dennis W. Miller M.d., P.a. |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 21 N 12th St, Kansas City, Kansas |
| Authorized Official Name and Position | Dennis W Miller (PHYSICIAN / OWNER) |
| Authorized Official Contact | 9133711667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis W. Miller M.d., P.a. 21 N 12th St Ste 350 Kansas City KS 66102-5161 Ph: (913) 371-1667 | Dennis W. Miller M.d., P.a. 21 N 12th St Ste 350 Kansas City KS 66102-5161 Ph: (913) 371-1667 |
| NPI Number | 1669775474 |
|---|---|
| Provider Enumeration Date | 12/16/2010 |
| Last Update Date | 12/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669775474 | NPI | - | NPPES |
| 100197080A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0433538 (Kansas) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 0419490 (Kansas) | Primary |
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