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NPI Code Detail

MEDICARE: MS. M KATHERINE MILLER SLP

MEDICARE: MS. M KATHERINE MILLER SLP
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
1235Z00000XSpeech-Language Pathologist01376MO

General Provider Information

NPI Number : 1568809424
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. M KATHERINE MILLER SLP
Provider Business Mailing Address
First Line : 621 E 66TH TER
Second Line :
City : KANSAS CITY
State : MO
Zip : 64131-1157
Country : US
Telephone Number : 816-333-5670
Fax Number :
Provider Business Practice Location Address
First Line : 11900 JESSICA LN
Second Line :
City : RAYTOWN
State : MO
Zip : 64138-2649
Country : US
Telephone Number : 816-743-0085
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2013
Last Update Date : 05/31/2013

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Directions to “ MS. M KATHERINE MILLER SLP” Practice Location

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