Individual
DONNA KATHLEEN MILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3100 INDEPENDENCE SQ, WEST PLAINS, MO 65775-4235
(417) 255-1373
(417) 256-5040
Mailing address
3100 INDEPENDENCE SQ, WEST PLAINS, MO 65775-4235
(417) 255-1373
(417) 256-5040
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2002013040
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205810708
—
MO
Enumeration date
09/19/2005
Last updated
06/16/2010
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