Individual
KELLY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 GRAVOIS RD, HOUSE SPRINGS, MO 63051-2304
(636) 296-6206
Mailing address
21 MUNICIPAL DR, ARNOLD, MO 63010-1012
(636) 296-6206
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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