Individual
CODY ALLEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7201 W 80TH ST APT 602, OVERLAND PARK, KS 66204-3773
(903) 456-9281
Mailing address
7201 W 80TH ST APT 602, OVERLAND PARK, KS 66204-3773
(903) 456-9281
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2020
Last updated
10/30/2020
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