| Doctor Name: | KATHLEEN JEANETTE MILLER |
| NPI Number: | 1194971911 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | COA.10150-NP |
| Business Practice Address: | 2211 Timber Trl Bellefontaine, OH - 433119036 |
| Business Phone Number: | 9375923808 |
| Business Fax Number: | 9375938408 |
| Mailing Address: | 2211 Timber Trl, BELLEFONTAINE |
| State: | OH |
| Postal Code: | 433119036 |
| Phone Number: | 9375923808 |
| Fax Number: | 9375938408 |
| NPI Enumeration Date: | 08/12/2008 |
| NPI Last Update Date: | 01/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | COA.10150-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |