Individual
KRISTINA KAYE MILLER-GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOCTORATE OTD
Contact information
Practice address
305 MORTON BLVD, HAZARD, KY 41701
(606) 435-1741
(606) 435-0490
Mailing address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 436-5761
(606) 436-5797
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
131943
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100417520
—
KY
Enumeration date
04/29/2014
Last updated
05/24/2018
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