Healthcare Provider Details

I. General information

NPI: 1346897675
Provider Name (Legal Business Name): ANDREA KAYE MILLER PMH-NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANDREA COLLINS PMH-NP

II. Dates (important events)

Enumeration Date: 08/21/2019
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 S CHERRY ST
PINEVILLE KY
40977-1724
US

IV. Provider business mailing address

1019 CUMBERLAND FALLS HWY STE B201
CORBIN KY
40701-2793
US

V. Phone/Fax

Practice location:
  • Phone: 606-654-3338
  • Fax: 606-654-2273
Mailing address:
  • Phone: 606-526-9005
  • Fax: 606-528-3871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number3013726
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: