Individual
DR. JACOB BENJAMIN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 NE SAINT LUKES BLVD, LEES SUMMIT, MO 64086-6000
(816) 347-5097
(816) 347-5045
Mailing address
PO BOX 412431, KANSAS CITY, MO 64141-2431
(913) 647-4100
(913) 258-2509
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2011012600
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881808061
—
MO
05
—
207086307
—
MO
01
—
46511019
BCBS KC
MO
01
—
P01085334
RAILROAD
MO
Enumeration date
05/09/2007
Last updated
01/29/2021
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