Individual
MR. MARK FRANK MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1100
(816) 404-1103
Mailing address
1221 SW CREEKSIDE DR, LEES SUMMIT, MO 64081-3254
(816) 347-0088
(816) 347-0088
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
133958
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913766002
—
MO
Enumeration date
10/11/2006
Last updated
12/10/2020
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