Individual
MRS. KRISTEN BENNETT MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
145 E CHEVES ST, PEE DEE PUBLIC HEALTH REGION, FLORENCE, SC 29506-2526
(843) 661-4830
(843) 661-4859
Mailing address
113 LYNDALE DR, HARTSVILLE, SC 29550-4613
(843) 673-6536
(843) 661-4859
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
96128
SC
163WC0400X
Case Management Registered Nurse
96128
SC
163WC1500X
Community Health Registered Nurse
Primary
96128
SC
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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