Provider Demographics
NPI:1811964497
Name:MILLER, ROBERT LINCOLN JR (DO)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LINCOLN
Last Name:MILLER
Suffix:JR
Gender:M
Credentials:DO
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Mailing Address - Street 1:2401 GILLHAM RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-4619
Mailing Address - Country:US
Mailing Address - Phone:816-234-3000
Mailing Address - Fax:816-302-9939
Practice Address - Street 1:5520 COLLEGE BLVD STE 365
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1658
Practice Address - Country:US
Practice Address - Phone:816-302-9939
Practice Address - Fax:816-302-9939
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2024-04-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAOP608211372080P0006X
KS05-475872080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1811964497Medicaid