Individual
IVY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1230 HIGHLAND ST APT 3, EMPORIA, KS 66801-5065
(785) 545-5291
Mailing address
1230 HIGHLAND ST APT 3, EMPORIA, KS 66801-5065
(785) 545-5291
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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