Individual
KEVIN ANDREW MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MSN, APRN.CNP
Contact information
Practice address
5547 MAHONING AVE # 187, AUSTINTOWN, OH 44515-2316
(440) 259-6551
Mailing address
PO BOX 6230, WHEELING, WV 26003-0722
(304) 242-7106
(304) 242-7108
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.378801
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.025812
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0479853
—
OH
Enumeration date
09/24/2019
Last updated
07/31/2024
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