Individual
KELLI A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
294 N HIGHWAY 16, SUITE A, DENVER, NC 28037-8011
(704) 489-2400
(704) 489-2900
Mailing address
4129 MOUNTAIN COVE DR, CHARLOTTE, NC 28216-7776
(704) 393-3593
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201950
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133E0
BCBS
NC
05
—
89133E0
—
NC
Enumeration date
12/18/2005
Last updated
06/17/2008
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