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Individual

ASHLEY MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3715 N OLIVER ST, WICHITA, KS 67220-3404
(316) 942-4519
(316) 942-4655
Mailing address
3715 N OLIVER ST, WICHITA, KS 67220-3404
(316) 942-4519
(316) 942-4655

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-77320-041
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
53-77320-041
STATE LIC
KS
Enumeration date
07/25/2016
Last updated
08/07/2023
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