Monica Miller, LMT
Individual provider Active NPI Contractor · Kansas City, MO
NPI 1295085371 · NPPES record last updated Sep 14, 2012
Key facts
- NPI
- 1295085371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 20050135121 (MO)
- Practice address
- 1810 Summit St
Suite 102
Kansas City, MO 64108 - Phone
- (816) 686-7555
- NPI assigned
- Sep 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20050135121 | MO | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 20050135121 | MO | Yes |
Addresses
Primary practice location
1810 Summit St
Suite 102
Kansas City, MO 64108
Mailing address
1810 Summit St
Suite 102
Kansas City, MO 64108-2109
Phone (816) 686-7555
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.