Individual
KRISTIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN, CPT
Contact information
Practice address
1326 NEW SENECA TPKE STE 16, SKANEATELES, NY 13152-8888
(315) 710-0080
Mailing address
988 ROCKWELL LN, DYER, IN 46311-8002
(219) 801-9677
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164006649
IL
133V00000X
Registered Dietitian
37003797A
IN
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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