Individual
KELLY A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
545 COLUMBIA DR STE 1003, LAWRENCE, KS 66049-2363
(785) 841-4840
(785) 841-5750
Mailing address
2600 W 6TH ST APT F9, LAWRENCE, KS 66049-4321
(785) 550-6355
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60648
KS
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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