Individual
KELLY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1358 HIGHWAY 141, CHARTER OAK, IA 51439-7522
(712) 263-9097
Mailing address
1358 HIGHWAY 141, CHARTER OAK, IA 51439-7522
(712) 263-9097
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17851
IA
Other
Enumeration date
12/17/2020
Last updated
09/29/2021
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