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Individual

AMY RENEE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
112 N MAIN ST, CUNNINGHAM, KS 67035-8802
(620) 298-2397
(855) 290-4906
Mailing address
750 W D AVE, KINGMAN, KS 67068-1266
(620) 532-0295
(855) 483-0002

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-77269-052
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201137850A
KS
05
30003916630005
KS
Enumeration date
06/29/2016
Last updated
09/03/2025
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