Provider Demographics
NPI:1073497368
Name:MILUKAS, ALICE MARGARET COCHRAN
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:MARGARET COCHRAN
Last Name:MILUKAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4809 BROADWAY TER
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:66048-4592
Mailing Address - Country:US
Mailing Address - Phone:336-817-6097
Mailing Address - Fax:
Practice Address - Street 1:4809 BROADWAY TER
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-4592
Practice Address - Country:US
Practice Address - Phone:336-817-6097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant