Individual
JEFFREY T MACMILLAN
Active
Individual
JEFFREY T MACMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
04-25519
KS
207X00000X
Orthopaedic Surgery Physician
Primary
29753
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0982140
UNITED HEALTHCARE
KS
05
—
100171940A
—
KS
01
—
141094900
US DEPARTMENT OF LABOR
KS
01
—
15076140
HUMANA
KS
01
—
200030413
RR MEDICARE
KS
05
—
208162701
—
MO
01
—
21793010
BCBS KC
KS
01
—
431793993
TRIWEST
KS
Enumeration date
07/26/2006
Last updated
08/16/2024
Update your record
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