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NPI Code Detail

MEDICARE: DR. KIMBERLY DIANE MILLER AU.D.

MEDICARE: DR. KIMBERLY DIANE MILLER AU.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237600000XAudiologist-Hearing Aid Fitter
2231H00000XAudiologist14205NC

General Provider Information

NPI Number : 1245548999
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIMBERLY DIANE MILLER AU.D.
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6324 FAIRVIEW RD STE 202
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-3361
Country : US
Telephone Number : 980-302-9740
Fax Number : 980-302-9750
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2010
Last Update Date : 11/01/2024

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