Individual
KASEY MACMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4697 HARRISON ST FL 3, BELLAIRE, OH 43906-1338
(740) 968-7006
Mailing address
4697 HARRISON ST FL 3, BELLAIRE, OH 43906-1338
(740) 968-7006
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
443735
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0032357
OH
Other
Enumeration date
11/14/2019
Last updated
01/17/2023
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