Healthcare Provider Details

I. General information

NPI: 1174436463
Provider Name (Legal Business Name): KAI MILLER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

288 BUXTON RD
SACO ME
04072-9551
US

IV. Provider business mailing address

288 BUXTON RD
SACO ME
04072-9551
US

V. Phone/Fax

Practice location:
  • Phone: 207-860-8601
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN78343
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: