Individual
MS. KELLY N MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RNC, NNP-BC
Contact information
Practice address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3478
(518) 262-9200
Mailing address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3478
(518) 262-9200
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
687171
NY
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
350505
NY
Other
Enumeration date
09/15/2020
Last updated
09/16/2020
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