Individual
DR. JAMES MIRABILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4550 W 109TH ST, SUITE 130, OVERLAND PARK, KS 66211-1360
(913) 541-9495
(913) 541-1264
Mailing address
4550 W 109TH ST, SUITE 130, OVERLAND PARK, KS 66211-1360
(913) 541-9495
(913) 541-1264
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
423989
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100133630B
—
KS
05
—
203560511
—
MO
Enumeration date
06/16/2006
Last updated
04/28/2014
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