Individual
KIM A MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1321 UNITY PL, SUITE A, LAFAYETTE, IN 47905-5793
(765) 446-2450
(765) 446-1083
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 449-2732
(765) 449-1196
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
71004193A
IN
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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