Individual
DR. RYAN MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3509 BROADWAY BLVD, KANSAS CITY, MO 64111-2501
(816) 753-2020
(816) 753-2697
Mailing address
3509 BROADWAY BLVD, KANSAS CITY, MO 64111-2501
(816) 753-2020
(816) 753-2697
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2005017513
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317387504
—
MO
Enumeration date
11/22/2006
Last updated
09/05/2023
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