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Individual

ARIANA MILLING HISAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
12140 NALL AVE STE 100, OVERLAND PARK, KS 66209-2504
(816) 943-0706
(913) 451-1754
Mailing address
12140 NALL AVE STE 100, OVERLAND PARK, KS 66209-2504
(816) 943-0706
(913) 451-1754

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01812
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
195338201
TX
01
P00611203
RAIL ROAD MEDICARE
TX
Enumeration date
03/28/2008
Last updated
06/15/2016
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