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Individual

MRS. KIM MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T

Contact information

Practice address
113 HILLTOP VILLAGE CENTER DR, SUITE B, EUREKA, MO 63025-1108
(636) 938-9373
(636) 938-9373
Mailing address
113 HILLTOP VILLAGE CENTER DR, SUITE B, EUREKA, MO 63025-1108
(636) 938-9373
(636) 938-9373

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R0728
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
124158
HEALTHLINK
MO
01
127499
BLUE CROSS BLUE SHIELD
MO
01
320062
HEALTH PARTNERS
MO
01
6400127
MEDICARE COMPLETE
MO
Enumeration date
08/01/2006
Last updated
03/14/2008
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