Individual
MRS. KATHLEEN MICHELLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
610 WEST MAIN STREET, EMERGENCY DEPARTMENT, WILMINGTON, OH 45177
(937) 382-6611
(513) 466-8029
Mailing address
5265 NATORP BLVD, APT 318-B, MASON, OH 45040
(740) 502-7495
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4053194
KY
363L00000X
Nurse Practitioner
Primary
APRN.CNP.13570
OH
363LF0000X
Family Nurse Practitioner
COA.13570-NP
OH
Other
Enumeration date
07/26/2012
Last updated
05/13/2026
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