Individual
DR. BRIAN G MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2679
(913) 789-3191
Mailing address
PO BOX 411895, KANSAS CITY, MO 64141-1895
(913) 632-2230
(913) 632-2297
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
04-24172
KS
208VP0000X
Pain Medicine Physician
0424172
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050028331
RRB
—
05
—
100157500A
—
KS
01
—
19092016
BCBS KC
KS
01
—
19092026
BCBS KC
KS
05
—
203858816
—
MO
Enumeration date
02/28/2006
Last updated
11/30/2020
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