Individual
KELLY E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4407 MACCORKLE AVE SE, CHARLESTON, WV 25304-2541
(304) 925-0392
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 781-5151
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4788
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2022
Last updated
10/13/2025
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