Individual
KIMBERLY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
116 N MAIN ST, FAIRVIEW, OK 73737-1621
(405) 614-1987
Mailing address
116 N MAIN ST, FAIRVIEW, OK 73737-1621
(405) 614-1987
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
001225
OK
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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