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Individual
KATHRYN S MILLER
Active
Individual
KATHRYN S MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
698579
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111433201
EPSDT MEDICAID
TX
Enumeration date
01/12/2007
Last updated
06/22/2011
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