MEDICARE: DR. GRACE A MILBURN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	2023030160	MO
2	208000000X	Pediatrics Physician	04-47970	KS

General Provider Information

NPI Number	:	1144857830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GRACE A MILBURN MD

Provider Business Mailing Address
First Line	:	2000 OLATHE BLVD
Second Line	:	MAILSTOP 4004
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-4619
Country	:	US
Telephone Number	:	913-588-6300
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 OLATHE
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-4619
Country	:	US
Telephone Number	:	913-588-1227
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2020
Last Update Date	:	08/01/2023

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Directions to “ DR. GRACE A MILBURN MD” Practice Location

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