Individual
KERRY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
411 MAIN ST FL 3, CATSKILL, NY 12414-1363
(518) 719-3600
(519) 719-3799
Mailing address
411 MAIN ST FL 3, CATSKILL, NY 12414-1363
(518) 719-3600
(519) 719-3799
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
445905-1
NY
163WC1500X
Community Health Registered Nurse
Primary
445905-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473230
—
NY
01
—
337050
MEDICARE
NY
Enumeration date
10/02/2008
Last updated
10/02/2008
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