Individual
MRS. KIMBERLY A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820B RIDDLEBARGER RD, PORTSMOUTH, OH 45662-8922
(740) 820-5981
Mailing address
820B RIDDLEBARGER RD, PORTSMOUTH, OH 45662-8922
(740) 820-5981
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
7301824
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2813263
—
OH
Enumeration date
12/21/2020
Last updated
12/21/2020
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