Individual
KIMBERLY DENISE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
810 W CHURCH ST, GREENEVILLE, TN 37745-3285
(423) 798-1749
(423) 798-1755
Mailing address
PO BOX 159, GREENEVILLE, TN 37744-0159
(423) 798-1749
(423) 798-1755
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000110839
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163WC1500X
TAXONOMY
TN
Enumeration date
04/14/2010
Last updated
04/14/2010
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