Individual
MR. KELLY WAYNE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1920 MCGUINN DR, HIGH POINT, NC 27265
(336) 819-2800
(336) 887-5585
Mailing address
709 LOCHSHIRE LN, WOODLEAF, NC 27054-9488
(704) 526-5058
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3145
NC
Other
Enumeration date
07/12/2017
Last updated
07/14/2018
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