Individual
KERRI B. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3231 S NATIONAL AVE, SPRINGFIELD, MO 65807-7304
(417) 888-5658
(417) 841-0104
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
112950
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425156304
—
MO
Enumeration date
12/26/2006
Last updated
07/14/2008
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