NPI 1356861330

Mindy Kim-Miller, MDPHD

Practitioner Nuclear Imaging & Therapy Physician Jackson, WY

Practice location

Address: 905 Willow Dr, Jackson, WY 83001-9353
Phone: (130) 773-4299

Registered specialties

Nuclear Imaging & Therapy Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207UN0902X Licence 036119528 (IL)

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Registry record

NPI: 1356861330
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jun 2017
Record last updated: 21 Jun 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.