# DR. KELLY NOELLE MILLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1447456199
- **Gender:** F
- **Credential:** DDS, MS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 019029316 | IL | — |
| 122300000X | Dentist | 57277 | CA | — |
| 1223P0700X | Prosthodontics | DE60468235 | WA | Yes |

## Other

- **Enumeration date:** 06/21/2007
- **Last updated:** 01/07/2022
