Healthcare Provider Details

I. General information

NPI: 1306760046
Provider Name (Legal Business Name): CORI NICOLE MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 US HIGHWAY 60 W
MOREHEAD KY
40351-9271
US

IV. Provider business mailing address

1225 US HIGHWAY 60 W
MOREHEAD KY
40351-9271
US

V. Phone/Fax

Practice location:
  • Phone: 606-336-8134
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: