Individual
MARK A. MILNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
629 S PLUMMER AVE, CHANUTE, KS 66720-1928
(620) 431-4000
(620) 431-7556
Mailing address
629 S PLUMMER AVE, CHANUTE, KS 66720-1928
(620) 431-4000
(620) 431-7556
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00419
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100341770B
—
KS
Enumeration date
06/24/2005
Last updated
03/23/2022
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