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Individual

BRIAN S. MILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
7405 RENNER RD, KU MEDWEST THERAPY, SHAWNEE, KS 66217-9414
(913) 588-3510
(913) 588-3508
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
225X00000X
Occupational Therapist
Primary
17-01897
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35411032
BCBS
01
481159444
JHPC TAX ID
Enumeration date
03/09/2007
Last updated
02/15/2010
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