Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kertonnia Petty-Miliken

Individual provider Case Manager/Care Coordinator · NPI 1134740004

Kertonnia Petty-Miliken is a Case Manager/Care Coordinator in Florissant, Missouri. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

2570 Mockingbird Ln
Florissant, MO 63031-3611
Phone: (314) 666-4041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1134740004
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 2, 2020
Last updated in NPPESSeptember 8, 2020
Certification dateSeptember 8, 2020

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