MEDICARE: KRISTIN MILLER OBSTETRICS & GYNECOLOGY PLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1033375332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KRISTIN MILLER OBSTETRICS & GYNECOLOGY PLC

Provider Business Mailing Address
First Line	:	8110 N BROTHER BLVD STE 200
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38133-2760
Country	:	US
Telephone Number	:	901-255-5221
Fax Number	:	901-373-4511

Provider Business Practice Location Address
First Line	:	6750 POPLAR AVE
Second Line	:	SUITE 210
City	:	MEMPHIS
State	:	TN
Zip	:	38138-7438
Country	:	US
Telephone Number	:	901-756-6522
Fax Number	:	901-435-0928

Authorized Official
Title or Position	:	OWNER
Name	:	KRISTIN M MILLER
Credential	:	MD
Telephone Number	:	901-756-6522

Provider Enumeration Date	:	08/06/2008
Last Update Date	:	03/11/2024

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