Individual
KIMBERLY MICHELLE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
481 MAJESTIC VALLEY RD, LEBANON, VA 24266
(276) 596-0608
Mailing address
PO BOX 2875, LEBANON, VA 24266-2875
(276) 596-0608
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024181713
VA
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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