Individual
KELLY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11102 LINDBERGH BUSINESS CT, SAINT LOUIS, MO 63123-7810
(314) 540-6582
(314) 206-3477
Mailing address
11102 LINDBERGH BUSINESS CT, SAINT LOUIS, MO 63123-7810
(314) 540-6582
(314) 206-3477
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2012017521
MO
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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