| Doctor Name: | KIMBERLEE ANN MILLER |
| NPI Number: | 1740365824 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | NP03340 |
| Business Practice Address: | 111 Vandament Way Mount Orab, OH - 451548395 |
| Business Phone Number: | 9374449186 |
| Business Fax Number: | 9374449189 |
| Mailing Address: | 111 Vandament Way, MOUNT ORAB |
| State: | OH |
| Postal Code: | 451548395 |
| Phone Number: | 9374449186 |
| Fax Number: | 9374449189 |
| NPI Enumeration Date: | 10/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP03340 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |