KELLY B MILLER

EDMOND, OK
NPI1336471903
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-02-08
Last Update Date2010-02-08
Business Address
Mr. KELLY B MILLER MHR
2732 NW 161ST ST
EDMOND, OK 73013-1218
Phone number: 405-202-2466
Mailing Address
Mr. KELLY B MILLER MHR
2732 NW 161ST STREET
EDMOND, OK 73013
Phone number: 405-202-2466