Individual
LESLIE K MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 224-4000
(423) 224-4746
Mailing address
509 MED TECH PKWY STE 100, JOHNSON CITY, TN 37604-2579
(423) 952-2111
(423) 952-2175
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
185969
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
185969
TN
Other
Enumeration date
12/14/2017
Last updated
09/24/2018
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