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NPI Code Detail

MEDICARE: KATHRYN KELLY MACMILLAN

MEDICARE: KATHRYN KELLY MACMILLAN
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
1225X00000XOccupational Therapist3425NC

General Provider Information

NPI Number : 1467315804
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN KELLY MACMILLAN
Provider Business Mailing Address
First Line : 170 KIMBERLY AVE
Second Line :
City : ASHEVILLE
State : NC
Zip : 28804-3539
Country : US
Telephone Number : 828-545-7844
Fax Number :
Provider Business Practice Location Address
First Line : 100 HOSPITAL DR
Second Line :
City : HENDERSONVILLE
State : NC
Zip : 28792-5272
Country : US
Telephone Number : 828-684-8501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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Directions to “ KATHRYN KELLY MACMILLAN ” Practice Location

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