Individual
NICOLE LEE MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 MAIN ST, KANSAS CITY, MO 64111-1921
(573) 225-7634
Mailing address
3803 NW 85TH TER, APT B, KANSAS CITY, MO 64154-3785
(573) 225-7634
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2008016025
MO
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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