Provider Demographics
NPI:1346606696
Name:MILLS, KIRSTEN
Entity Type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:
Last Name:MILLS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 TREASUREWOOD RD
Mailing Address - Street 2:
Mailing Address - City:GLENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28736-6358
Mailing Address - Country:US
Mailing Address - Phone:828-226-4828
Mailing Address - Fax:
Practice Address - Street 1:218 TREASUREWOOD RD
Practice Address - Street 2:
Practice Address - City:GLENVILLE
Practice Address - State:NC
Practice Address - Zip Code:28736-6358
Practice Address - Country:US
Practice Address - Phone:828-226-4828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-01
Last Update Date:2016-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program