Individual
MS. KIMBERLY S MINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
100 SOUTH LATHAM STREET, SUITE 103B, SANDWICH, IL 60548
(815) 508-8635
Mailing address
100 SOUTH LATHAM STREET, SUITE 103B, SANDWICH, IL 60548
(815) 508-8635
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001263
IL
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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