Individual
JENNA OLIVA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
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
Primary
2007015911
MO
2080P0203X
Pediatric Critical Care Medicine Physician
04-36584
KS
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
2009015780
MO
Other
Enumeration date
04/09/2008
Last updated
03/17/2026
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