Provider Demographics
NPI:1427188432
Name:MILLER, KARI
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9412 CHEROKEE PL
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66206-2017
Mailing Address - Country:US
Mailing Address - Phone:913-649-4236
Mailing Address - Fax:913-648-1160
Practice Address - Street 1:9412 CHEROKEE PL
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66206-2017
Practice Address - Country:US
Practice Address - Phone:913-649-4236
Practice Address - Fax:913-648-1160
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002032058225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist