Provider Demographics
NPI:1649428863
Name:MILLER, LEIGHTON JAMES (APRN)
Entity type:Individual
Prefix:MR
First Name:LEIGHTON
Middle Name:JAMES
Last Name:MILLER
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:325 MAINE STREET
Mailing Address - Street 2:MSO LIBRARY
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044
Mailing Address - Country:US
Mailing Address - Phone:785-505-2988
Mailing Address - Fax:785-505-5228
Practice Address - Street 1:6265 ROCK CHALK DR STE 1500
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-5232
Practice Address - Country:US
Practice Address - Phone:785-843-9125
Practice Address - Fax:785-505-5312
Is Sole Proprietor?:No
Enumeration Date:2008-08-29
Last Update Date:2024-09-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS46259363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS46259OtherLICENSE