Individual
KIMBERLY ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17 BANK AVE, SMITHTOWN, NY 11787-2703
(631) 265-5325
Mailing address
112 MANTON ST, SAYVILLE, NY 11782-1328
(631) 559-6775
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
748568
NY
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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