Individual
KELLY L MCMILLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
709 W 8TH ST, SUITE 4, GILLETTE, WY 82716-4125
(307) 682-3333
(307) 682-6723
Mailing address
709 WEST 8TH STREET, SUITE 4, GILLETTE, WY 82716
(307) 682-3333
(307) 682-6723
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8200A
WY
Other
Enumeration date
07/16/2009
Last updated
12/07/2012
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