Individual
KIMBERLY DIANE MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4411 WASHINGTON AVE STE 105, EVANSVILLE, IN 47714-0805
(812) 213-0304
Mailing address
4411 WASHINGTON AVE STE 105, EVANSVILLE, IN 47714-0805
(812) 213-0304
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71014784A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100579830
—
KY
Enumeration date
11/15/2018
Last updated
01/15/2024
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