Individual
KIMBERLY SUE MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
2910 BETTEN DR, CRETE, NE 68333-3084
(402) 826-2102
Mailing address
2910 BETTEN DR, CRETE, NE 68333-3084
(402) 826-2102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1412
NE
Other
Enumeration date
10/02/2006
Last updated
04/03/2019
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