Individual ProviderKristopher Carter MillerChiropractorChiropractic ProvidersPractice Address6480 Wayzata Blvd Bldg Golden, Golden Valley, MN 55426-1710(763) 593-0919PECOS EnrollmentBased on the most recent information from CMS, provider Kristopher Carter Miller does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1255465191Provider TypeIndividualFull NameMiller, Kristopher CarterTitleDr.CredentialD.C.GenderMaleSole ProprietorYesEnumeration Date3/15/2007Last Updated8/28/2008Contact InformationPractice LocationPractice Address6480 Wayzata Blvd Bldg Golden, Golden Valley, MN 55426-1710Phone(763) 593-0919Fax(763) 593-9556Mailing LocationMailing Address6480 Wayzata Blvd Bldg Golden, Golden Valley, MN 55426-1710Phone(763) 593-0919Fax(763) 593-9556Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense3346Minnesota