Individual
KELLI HENDERHAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
128 WERTZ AVE NW, SUITE B, CANTON, OH 44708-4145
(330) 452-9460
Mailing address
2600 15TH ST NW, CANTON, OH 44708-3123
(330) 452-3375
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN235076
OH
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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