Individual
JOHN CASEY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 371-1566
Mailing address
7021 E 39TH ST N, WICHITA, KS 67226-2432
(316) 371-1566
Taxonomy
Speciality
Code
Description
License number
State
163WS0121X
Plastic Surgery Registered Nurse
Primary
13-108760
KS
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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