MEDICARE: DR. NKIRU KENDRA MILLS DO

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
1	207R00000X	Internal Medicine Physician	0102208404	VA
2	207R00000X	Internal Medicine Physician	34.016093	OH
3	207R00000X	Internal Medicine Physician	H0105816	MD

General Provider Information

NPI Number	:	1881213312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NKIRU KENDRA MILLS DO

Provider Business Mailing Address
First Line	:	3983 ROSEMOND RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44121-2448
Country	:	US
Telephone Number	:	860-805-9746
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 23RD ST
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44223-1404
Country	:	US
Telephone Number	:	330-971-7225
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2020
Last Update Date	:	06/30/2026

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