Provider Demographics
NPI:1770565400
Name:MEANS, MILA LEE (MD)
Entity type:Individual
Prefix:DR
First Name:MILA
Middle Name:LEE
Last Name:MEANS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6611 E CENTRAL AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-1921
Mailing Address - Country:US
Mailing Address - Phone:316-858-1351
Mailing Address - Fax:316-858-1355
Practice Address - Street 1:6611 E CENTRAL AVE
Practice Address - Street 2:SUITE E
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-1921
Practice Address - Country:US
Practice Address - Phone:316-858-1351
Practice Address - Fax:316-858-1355
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-17
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-20313207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS4083594OtherAETNA
KS100163860CMedicaid
KS001658260004OtherUNITED
KS3215002OtherCIGNA
KS609OtherPPK
KS95965OtherFIRST HEALTH
KS100431OtherHPK
KS100163860CMedicaid
KS883106OtherONE HEALTH PLAN
KS001658260004OtherUNITED
KS100163860CMedicaid