Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Candace Miller

Individual provider Physician Assistant · NPI 1679037584

Candace Miller is a Physician Assistant in Kansas City, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2411 Holmes St
Kansas City, MO 64108-2741
Phone: (816) 645-2919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2020027400 (MO)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1679037584
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 24, 2019
Last updated in NPPESAugust 31, 2020
Certification dateAugust 3, 2020

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