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NPI Code Detail

MEDICARE: KATLYN MILLER

MEDICARE:   KATLYN  MILLER
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
1225X00000XOccupational TherapistT-05609KS

General Provider Information

NPI Number : 1912671025
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATLYN MILLER
Provider Business Mailing Address
First Line : 15044 S BLACKBOB RD
Second Line :
City : OLATHE
State : KS
Zip : 66062-2663
Country : US
Telephone Number : 913-449-9696
Fax Number :
Provider Business Practice Location Address
First Line : 15044 S BLACKBOB RD
Second Line :
City : OLATHE
State : KS
Zip : 66062-2663
Country : US
Telephone Number : 913-449-9696
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2021
Last Update Date : 08/03/2021

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Directions to “ KATLYN MILLER ” Practice Location

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