Kevin Michael Miner, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2001000294 Issued in MO

Practice address

614 NW Englewood Rd
Kansas City, MO 64118-3973

Phone

(816) 741-0033

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1326052556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 NW ENGLEWOOD RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641183973",
            "telephone_number": "816-741-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 NW ENGLEWOOD RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641183973",
            "telephone_number": "816-741-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2001000294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Journey Psychological Services LLC
• Mindful Shine, LLC (Mindful Shine)
• Mindspace Wellness Counseling, LLC
• Jeff Miner, LPC
• Kathryn S Miner, D.O.
• Takedria Mingo-Berry, FNP-BC
• Steven C. Mingos, D.D.S.
• Lacey Mings-Upshaw, PLPC
• Gregg E Minion, MD
• Minnesota Professional Medical Services LLC

• Family Medicine Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.