Individual
REGINA DENISE MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1301 KS HWY 264, LARNED, KS 67550-5353
(620) 804-2079
Mailing address
1301 KS HWY 264, LARNED, KS 67550-5353
(620) 804-2079
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0800306
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800306
KANSAS LICENSE NUMBER
KS
Enumeration date
08/08/2008
Last updated
08/08/2008
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