Individual
KELLY LYNN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 W SUNSET DR, WAUKESHA, WI 53189-8422
(262) 446-5169
Mailing address
10275 W PLUM TREE CIR APT 102, HALES CORNERS, WI 53130-2658
(319) 310-4230
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16421-040
WI
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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