Individual
KRISTAN ADEAN MILAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 E CHESTNUT ST, STE #310, LOUISVILLE, KY 40202-5700
(502) 589-6788
Mailing address
401 E CHESTNUT ST, STE #310, LOUISVILLE, KY 40202-5700
(502) 589-6788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44324
KY
207R00000X
Internal Medicine Physician
TP806
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100132420
—
KY
Enumeration date
09/15/2008
Last updated
11/09/2011
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