Miller, Kathryn A

Miller, Kathryn A is an sole proprietor health care provider with primary practice located at 4646 Poplar Ave Ste 424 , Memphis TN 38117-4434. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Miller, Kathryn A can be contacted via phone (901) 767-4748.

Contact Information

Primary practice address
4646 Poplar Ave Ste 424 Memphis TN 38117-4434
Phone: (901) 767-4748
Fax: (901) 767-4749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 582 Tennessee

Profile Details

NPI number 1689623308
LBN Legal business name Miller, Kathryn A
Credentials MS, LPC MHSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689623308 NPPES
Tennessee Other 4015818 BLUE CROSS BLUE SHIELD ID
Tennessee Other 472238 BLUE CROSS BLUE SHIELD ID
Tennessee MEDICAID 5441094 BLUE CROSS BLUE SHIELD ID

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