Individual
KIMBERLY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11560 OLIVE BLVD, CREVE COEUR, MO 63141-7111
(314) 995-7128
Mailing address
508 BROWN ST, UNION, MO 63084-1404
(636) 390-1627
(636) 390-1760
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2013029768
MO
Other
Enumeration date
04/14/2014
Last updated
04/05/2023
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