Individual
KERRY CENIZA MIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8500
(913) 588-1227
Mailing address
3901 RAINBOW BLVD # MS 1046, KANSAS CITY, KS 66160-8500
(913) 588-6896
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
04-51416
KS
208100000X
Physical Medicine & Rehabilitation Physician
2025014851
MO
Other
Enumeration date
03/26/2021
Last updated
07/22/2025
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