Individual
COLIN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
313 E 17TH ST APT 203, KANSAS CITY, MO 64108-1407
(573) 301-0541
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2013028772
MO
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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