Kelly Lynn Miller BIS

NPI 1134313448 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1134313448
Gender Female
Enumeration Date 08/29/2007
Last Updated 08/29/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1407 SAINT ANDREW ST STE 100
LA CROSSE WI, 54603-2378, US
Phone (608) 785-6338
Fax
Business Location
3208 27TH ST S
LA CROSSE WI, 54601-7932, US
Phone (608) 780-8364
Fax
Toxanomy
Taxonomy Code 171M00000X
License State Wisconsin
License Number 1268-127
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According to our database, Ms. Kelly Lynn Miller BIS NPI is 1134313448, taxonomy code is 171M00000X and license number is 1268-127, license state is located at Wisconsin. Kelly Lynn Miller BIS physically located at 1407 Saint Andrew St Ste 100, La Crosse WI, 54603-2378. NPI Number Kelly Lynn Miller BIS has the Individual type.

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1134313448 NPI number is provided on an as is basis without warranty of any kind. 1134313448 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Lynn Miller BIS are for informational purposes only.