Individual
DR. MIGGS W. GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7611 STATE LINE RD, #135, KANSAS CITY, MO 64114-6801
(816) 822-2500
Mailing address
139 LAKESHORE DR S, LAKE QUIVIRA, KS 66217-8516
(913) 962-1293
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY01587
MO
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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