Individual
KATHLEEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
U.S. ARMY DENTAL HEALTH ACTIVITY, BLDG 2441, 21ST, FORT CAMPBELL, KY 42223
(270) 853-1233
Mailing address
887 WILD ELM CT, CLARKSVILLE, TN 37042-1954
(270) 853-1233
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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