Individual
REBECCA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4320 WORNALL RD, SUITE 304, KANSAS CITY, MO 64111-5941
(816) 932-4655
Mailing address
901 E 104TH ST, MAILSTOP 400, KANSAS CITY, MO 64131-4517
(816) 502-8755
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169687
CERTIFICATION
KS
Enumeration date
10/07/2015
Last updated
11/09/2017
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