IndividualActive
Mindy Kim-Miller, MD, PHD
NPI 1356861330 · Nuclear Imaging & Therapy Physician · Jackson, WY
Provider details
- NPI number
- 1356861330
- Entity type
- Individual
- Primary specialty
- Nuclear Imaging & Therapy PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 036119528 (IL)
Mailing address
905 Willow Dr
Jackson, WY 83001-9353
Registry dates
- Enumerated
- 2017-06-21
- Last updated
- 2017-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.