Organization
FRONTIER FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY LYNN MCMILLIN M.D. (PHYSICIAN PARTNER)
(307) 682-3333
Entity
Organization
Contact information
Practice address
709 W 8TH ST, SUITE 4, GILLETTE, WY 82716-4125
(307) 682-3333
Mailing address
709 W 8TH ST, SUITE 4, GILLETTE, WY 82716-4125
(307) 682-3333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/19/2012
Last updated
12/18/2014
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