Organization
KELLER PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY MILLER CPC (CREDENTIALING SPECIALIST)
(785) 505-2988
Entity
Organization
Contact information
Practice address
1130 W 4TH ST, SUITE 3200, LAWRENCE, KS 66044-1328
(785) 505-5875
(785) 505-3322
Mailing address
1130 W 4TH ST, SUITE 3200, LAWRENCE, KS 66044-1328
(785) 505-5875
(785) 505-3322
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0429112
KS
Other
Enumeration date
03/06/2014
Last updated
03/19/2014
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