Individual
MS. KIMBERLY DANA BROUGHTON-MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP, MSN
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-2877
(502) 587-4421
(502) 587-4840
Mailing address
5454 NEW CUT RD, SUITE 5, LOUISVILLE, KY 40214-4271
(502) 361-9900
(502) 361-9947
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5132P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100159710
—
KY
Enumeration date
03/16/2007
Last updated
04/09/2014
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