Individual
KIM DIAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC/A
Contact information
Practice address
1001 12TH AVE STE 150, FORT WORTH, TX 76104-3929
(817) 335-8151
Mailing address
1001 12TH AVE STE 150, FORT WORTH, TX 76104-3929
(817) 335-8151
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
50761
TX
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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