NPI 1619274867
Jack Glenn Miller, CTN
Practice location
- Address
- 1308 N Stockton Hill Rd STE A-153, Kingman, AZ 86401-5139
- Phone
- (928) 565-5853
- Mailing address
- 1308 N Stockton Hill Rd STE a, Kingman, AZ 86401-5190
Registered specialties (2)
Homeopath
Primary
Naturopath
Registry record
- NPI
- 1619274867
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Feb 2011
- Record last updated
- 25 Jan 2013
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.