Individual
KIMBERLE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CEO
Contact information
Practice address
4849 FORT AVE, LYNCHBURG, VA 24502-1506
(434) 429-8135
Mailing address
4849 FORT AVE, LYNCHBURG, VA 24502-1506
(434) 429-8135
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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