Individual
MINDY KIM-MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
905 WILLOW DR, JACKSON, WY 83001-9353
(130) 773-4299
Mailing address
905 WILLOW DR, JACKSON, WY 83001-9353
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
036119528
IL
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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