Individual
KEVIN TODD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LDN
Contact information
Practice address
4503 RADNOR DR, GREENSBORO, NC 27410-5914
(919) 896-4647
Mailing address
4503 RADNOR DR, GREENSBORO, NC 27410-5914
(919) 896-4647
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004365
NC
133V00000X
Registered Dietitian
LD004617
GA
Other
Enumeration date
06/14/2016
Last updated
05/15/2023
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