Healthcare Provider Details

I. General information

NPI: 1336062702
Provider Name (Legal Business Name): KAYLEE MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5501 SW 9TH AVE
AMARILLO TX
79106-4130
US

IV. Provider business mailing address

5501 SW 9TH AVE
AMARILLO TX
79106-4130
US

V. Phone/Fax

Practice location:
  • Phone: 806-468-4343
  • Fax: 806-468-4366
Mailing address:
  • Phone: 806-468-4343
  • Fax: 806-468-4366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number81233
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: