Individual
KIMBERLY A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1901 CONNECTICUT AVE S, SARTELL, MN 56377-2554
(320) 259-4100
(320) 257-5523
Mailing address
1901 CONNECTICUT AVE S, SARTELL, MN 56377-2554
(320) 259-4100
(320) 257-5523
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12767
MN
363A00000X
Physician Assistant
PAC0872
ND
Other
Enumeration date
09/10/2018
Last updated
09/27/2022
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