Keitra Ann Miller
Military Hospital in Apo, AP. Individual provider (NPI-1).
NPI number1801034707
StatusActive
Last updated in NPPESJan 30, 2009
Details
- NPI
- 1801034707
- Entity type
- Individual (NPI-1)
- Name
- Keitra Ann Miller
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 30, 2009
- Last updated
- Jan 30, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 286500000X | Military Hospital | 199358 | TX | Yes |
Practice location
A Co. 121 Csh762
Apo, AP 96205
Phone 706-478-0112
Mailing address
A Co. 121 Csh762
Apo, AP 96205
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