Individual
MR. KENNETH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, AGCNS-BC, OCN
Contact information
Practice address
2400 W FRIENDLY AVE, GREENSBORO, NC 27403-1109
(336) 832-1288
Mailing address
757 OLD CASTLE DR, RANDLEMAN, NC 27317-8234
(336) 460-1433
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
572
NC
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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