Individual
KYLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 712-4301
Mailing address
923 N CHEYENNE AVE, TULSA, OK 74106-5127
(052) 503-8584
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12671
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/08/2022
Last updated
03/14/2025
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