Provider Demographics
NPI:1104931856
Name:MILLS, JERE LEE (DC)
Entity type:Individual
Prefix:DR
First Name:JERE
Middle Name:LEE
Last Name:MILLS
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13795 S MUR LEN RD STE 203
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-1096
Mailing Address - Country:US
Mailing Address - Phone:913-764-5900
Mailing Address - Fax:913-764-5906
Practice Address - Street 1:13795 S MUR LEN RD STE 203
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1096
Practice Address - Country:US
Practice Address - Phone:913-764-5900
Practice Address - Fax:913-764-5906
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04950111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS35347017OtherBLUE CROSS / BLUE SHIELD
KSS46D694Medicare ID - Type UnspecifiedID NUMBER
KS35347017OtherBLUE CROSS / BLUE SHIELD