Individual
KELLIE A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
3740 W SYLVANIA AVE, SUITE 250, TOLEDO, OH 43623-4461
(419) 473-6670
(419) 473-9959
Mailing address
3740 W SYLVANIA AVE, SUITE 250, TOLEDO, OH 43623-4461
(419) 473-6670
(419) 473-9959
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
4704235374
MI
363LP0200X
Pediatric Nurse Practitioner
Primary
COA10147NP
OH
Other
Enumeration date
08/20/2008
Last updated
07/29/2022
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