Individual
KELLY O'BRIEN MILLER
Active
Individual
KELLY O'BRIEN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.019572
OH
363LP2300X
Primary Care Nurse Practitioner
APRN.CNP.019572
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0188102
—
OH
01
—
H524110
CGS MEDICARE
OH
Enumeration date
08/09/2016
Last updated
02/24/2022
Update your record
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