Individual
KATHLEEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 773-4621
(724) 773-4696
Mailing address
2800 PATTERSON DR, ALIQUIPPA, PA 15001-1129
(724) 375-1919
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN522303L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN522303L
RN LICENSE
PA
Enumeration date
09/12/2007
Last updated
09/12/2007
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