Basic Information
| Provider Information | |||||||||
| NPI: | 1255894747 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCKEE | ||||||||
| FirstName: | MILES | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12140 NALL AVE STE 300 | ||||||||
| Address2: | |||||||||
| City: | OVERLAND PARK | ||||||||
| State: | KS | ||||||||
| PostalCode: | 662092503 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9134986537 | ||||||||
| FaxNumber: | 9134986708 | ||||||||
| Practice Location | |||||||||
| Address1: | 621 E 12300 S | ||||||||
| Address2: | |||||||||
| City: | DRAPER | ||||||||
| State: | UT | ||||||||
| PostalCode: | 840209854 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3853374711 | ||||||||
| FaxNumber: | 4352927076 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/11/2019 | ||||||||
| LastUpdateDate: | 10/11/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/11/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 12933274-1204 | UT | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.