Individual
MS. KELLY LYNN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BIS
Contact information
Practice address
1407 SAINT ANDREW ST STE 100, LA CROSSE, WI 54603-2378
(608) 785-6338
Mailing address
3208 27TH ST S, LA CROSSE, WI 54601-7932
(608) 780-8364
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1268-127
WI
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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