Provider Demographics
NPI:1821314816
Name:HILES, MEGAN DANIELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:DANIELLE
Last Name:HILES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MEGAN
Other - Middle Name:DANIELLE
Other - Last Name:KEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4000 CAMBRIDGE ST
Mailing Address - Street 2:MAIL STOP 1044
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160
Mailing Address - Country:US
Mailing Address - Phone:913-588-3974
Mailing Address - Fax:913-588-6055
Practice Address - Street 1:4000 CAMBRIDGE ST
Practice Address - Street 2:MAIL STOP 1044
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160
Practice Address - Country:US
Practice Address - Phone:913-588-3974
Practice Address - Fax:913-588-6500
Is Sole Proprietor?:No
Enumeration Date:2010-04-15
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-44504207R00000X
CO52602207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200099504Medicaid
KS011A00485OtherKS MEDICARE
KS66077019OtherBCBS KC