Individual
CHRISTINA M. PANIS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6420 N PROSPECT AVE, GLADSTONE, MO 64119
(913) 945-9700
(913) 945-9707
Mailing address
2330 SHAWNEE MISSION PKWY, MEDICAL ADMINISTRATIVE SERVICES OF KU MED, STE. 312, WESTWOOD, KS 66205-2005
(913) 588-9000
(913) 588-9822
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2003025138
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18960020
BCBS CREEKWOOD UC
—
01
—
481159444
JAYHAWK TAX ID
—
Enumeration date
06/02/2006
Last updated
06/18/2018
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