Individual
KATHY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2024 DORSETT VLG, MARYLAND HEIGHTS, MO 63043-2208
(314) 590-0550
(314) 590-0560
Mailing address
1551 WALL ST, SUITE 310, SAINT CHARLES, MO 63303-3539
(636) 669-2268
(314) 209-8127
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
082964
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082964
RN LICENSE
MO
Enumeration date
04/20/2010
Last updated
04/20/2010
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