Individual
MRS. KATHY C MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
1200 S 74TH ST, FORT SMITH, AR 72903-2808
(479) 484-5431
(479) 484-7306
Mailing address
1200 S 74TH ST, FORT SMITH, AR 72903-2808
(479) 484-5431
(479) 484-7306
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1484
OK
133V00000X
Registered Dietitian
Primary
183
AR
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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