Individual
MS. KAREN LYNN MCMILLAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1201 BROADROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
(804) 675-5509
Mailing address
630 GREEN ORCHARD DR, CHESTER, VA 23836-7903
(804) 530-0174
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCCPA
1017951
—
Enumeration date
06/09/2006
Last updated
07/08/2007
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