Individual
KIMBERLY MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
202 E BAGLEY RD, BEREA, OH 44017-2058
(440) 234-2006
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 234-2006
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.467231
OH
164W00000X
Licensed Practical Nurse
PN105717-MEDS
OH
Other
Enumeration date
11/20/2015
Last updated
08/17/2020
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