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Individual

KIMBERLY MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
3001 W BLUE STARR DR, CLAREMORE, OK 74017-2544
(918) 342-5432
Mailing address
26131 E 86TH ST S, BROKEN ARROW, OK 74014-2829

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
97233
OK

Other

Enumeration date
03/14/2018
Last updated
03/14/2018
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