Individual provider · NPI-1

Kara Millis, RDN, LDN

Dietitian, Registered · Mattoon, IL

NPI number1437664984
StatusActive
Last updated in NPPESOct 24, 2022

Details

NPI
1437664984
Entity type
Individual (NPI-1)
Name
Kara Millis
Credential
RDN, LDN
Sex
Female
Sole proprietor
No
Enumeration date
Dec 6, 2017
Certification date
Oct 24, 2022
Last updated
Oct 24, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered164007128ILYes

Other names

  • Kara Wilcoxon (Former Name)

Practice location

1000 Health Center Dr
Mattoon, IL 61938-4644

Phone 765-505-7019

Mailing address

1000 Health Center Dr
Mattoon, IL 61938-4644

Phone 765-505-7019

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