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Individual

DR. KATHERINE GRACE MACMILLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
LL40885
SC
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
04-47698
KS
2080P0203X
Pediatric Critical Care Medicine Physician
2023021133
MO
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
D0088859
MD

Other

Enumeration date
07/31/2017
Last updated
03/14/2026
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