Individual
KRISTINE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9934 E WASHINGTON ST, INDIANAPOLIS, IN 46229-3040
(866) 434-3255
Mailing address
5338 BROADWAY ST, INDIANAPOLIS, IN 46220-3138
(810) 614-2014
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
10003939A
IN
Other
Enumeration date
03/03/2023
Last updated
02/24/2025
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