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Individual

KAY M MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN, IBCLC

Contact information

Practice address
3515 S PLEASANT ST, INDEPENDENCE, MO 64055-3211
(816) 210-5100
Mailing address
3515 S PLEASANT ST, INDEPENDENCE, MO 64055-3211
(816) 210-5100

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
2004019329
MO
174H00000X
Health Educator
174N00000X
Lactation Consultant (Non-RN)
Primary
L-96898
374J00000X
Doula

Other

Enumeration date
11/25/2009
Last updated
03/24/2020
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