Individual
MRS. JENNIFER LYNN MILLER I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 E AUGUSTA AVE, AUGUSTA, KS 67010-2100
(316) 773-5047
Mailing address
2505 N CRESTLINE CT, WICHITA, KS 67205-1572
(316) 617-1488
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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