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NPI Code Detail

MEDICARE: KERSTYN MILAM

MEDICARE: KERSTYN MILAM
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1275492530
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERSTYN MILAM
Provider Business Mailing Address
First Line : 902 W KIMBERLY RD
Second Line :
City : DAVENPORT
State : IA
Zip : 52806-5717
Country : US
Telephone Number : 563-262-8543
Fax Number :
Provider Business Practice Location Address
First Line : 902 W KIMBERLY RD
Second Line :
City : DAVENPORT
State : IA
Zip : 52806-5717
Country : US
Telephone Number : 563-262-8543
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/21/2026

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Directions to “ KERSTYN MILAM ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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