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NPI Code Detail

MEDICARE: KIRK A MILLER DO

MEDICARE: KIRK A MILLER DO
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
12085R0202XDiagnostic Radiology Physician0531378KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1104885OTHERKSBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619040623
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRK A MILLER DO
Provider Business Mailing Address
First Line : PO BOX 411851
Second Line :
City : KANSAS CITY
State : MO
Zip : 64141-1851
Country : US
Telephone Number : 913-588-6805
Fax Number : 913-588-7899
Provider Business Practice Location Address
First Line : 3901 RAINBOW BLVD
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-7234
Country : US
Telephone Number : 913-588-6805
Fax Number : 913-588-7899
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 07/24/2014

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Directions to “ KIRK A MILLER DO” Practice Location

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