Miller, Kim

Miller, Kim is an individual health care provider with primary practice located at 1200 N State Highway 121 , Mt Zion IL 62549-1224. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Miller, Kim can be contacted via phone (217) 864-5531.

Contact Information

Primary practice address
1200 N State Highway 121 Mt Zion IL 62549-1224
Phone: (217) 864-5531
Fax: (217) 864-2449
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209004811 Illinois

Profile Details

NPI number 1285638262
LBN Legal business name Miller, Kim
Credentials APN/CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Mar 10th, 2011 - about 13 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 1285638262 NPPES
Illinois MEDICAID 036068658

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