Individual
MRS. KELLI MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
135 RUTLEDGE AVE, MSC 561, CHARLESTON, SC 29425-8903
(843) 792-0603
(843) 792-7332
Mailing address
135 RUTLEDGE AVE, MSC 561, CHARLESTON, SC 29425-8903
(843) 792-0603
(843) 792-7332
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
936
SC
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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