Individual
KIM MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN/CNP
Contact information
Practice address
1200 N STATE HIGHWAY 121, MT ZION, IL 62549-1224
(217) 864-5531
(217) 864-2449
Mailing address
1200 N STATE HIGHWAY 121, MT ZION, IL 62549-1224
(217) 864-5531
(217) 864-2449
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209004811
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068658
—
IL
Enumeration date
06/08/2005
Last updated
03/10/2011
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