Individual
KAITLYN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
801 MACARTHUR BLVD STE 305, MUNSTER, IN 46321-2920
(219) 703-2401
(219) 703-6687
Mailing address
8871 BRADWELL PL APT 207, FISHERS, IN 46037-8632
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002908A
IN
Other
Enumeration date
12/12/2019
Last updated
02/15/2023
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