Individual
MRS. KATHERINE A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2000 BROOKSIDE DR, KINGSPORT, TN 37660-4627
(423) 857-7144
Mailing address
401 HIDDEN ACRES RD, KINGSPORT, TN 37664-5668
(423) 349-6456
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
144686
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3633474
—
TN
Enumeration date
09/27/2006
Last updated
07/08/2007
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