Individual
MACY DONELLE MILLIKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
445 W 15TH ST, LIBERAL, KS 67901-2464
(620) 417-9012
Mailing address
445 W 15TH ST, LIBERAL, KS 67901-2464
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TMP-159793
KS
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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