Individual
KRISTEN M MCMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
001977
WV
225100000X
Physical Therapist
Primary
001977
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550755833
WV WORKERS COMP
WV
05
—
7302139000
—
WV
Enumeration date
10/31/2006
Last updated
11/11/2024
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