Individual
KRISTINE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1075 OXFORD HILL RD, O FALLON, IL 62269-6821
(618) 973-0253
Mailing address
2815 SCOTT AVE STE D, SAINT LOUIS, MO 63103-3009
(314) 669-1252
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
12/21/2023
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