Individual
DR. MICHAEL KELLY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7337 BROADWAY, KANSAS CITY, MO 64114
(816) 523-4600
(816) 523-4724
Mailing address
7337 BROADWAY, KANSAS CITY, MO 64114
(816) 523-4600
(816) 523-4724
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CEO4675
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
756879607
—
MO
01
—
L730000
GROUP
—
Enumeration date
11/01/2006
Last updated
09/30/2011
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