Individual
KELLY B MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2334 41ST ST, WILMINGTON, NC 28403-5502
(910) 641-4095
Mailing address
1923 SILVER SPOON RD, EVERGREEN, NC 28438-6002
(910) 770-1064
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5017849
NC
Other
Enumeration date
03/24/2023
Last updated
03/28/2023
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