Individual
KIM DAWN MCMILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
91 TROY SQ STE 101, TROY, MO 63379-3228
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
144267
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2017008880
MO
Other
Enumeration date
10/07/2017
Last updated
07/22/2021
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