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NPI Code Detail

MEDICARE: KENDAL MILLER

MEDICARE: KENDAL MILLER
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
1225X00000XOccupational Therapist23584FL

General Provider Information

NPI Number : 1205552080
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDAL MILLER
Provider Business Mailing Address
First Line : 2813 SW 36TH ST
Second Line :
City : CAPE CORAL
State : FL
Zip : 33914-4855
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7820 FANNING CT
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-8508
Country : US
Telephone Number : 877-969-0712
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2022
Last Update Date : 10/13/2022

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Directions to “ KENDAL MILLER ” Practice Location

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