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NPI Code Detail

MEDICARE: KAYE MILLER C FNP

MEDICARE:   KAYE  MILLER  C FNP
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
1363LF0000XFamily Nurse Practitioner36817WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1001721074OTHERWVMS BCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891774857
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYE MILLER C FNP
Provider Business Mailing Address
First Line : 1520 WASHINGTON ST E
Second Line :
City : CHARLESTON
State : WV
Zip : 25311-2511
Country : US
Telephone Number : 304-343-7000
Fax Number : 304-343-7009
Provider Business Practice Location Address
First Line : 1520 WASHINGTON ST E
Second Line :
City : CHARLESTON
State : WV
Zip : 25311-2511
Country : US
Telephone Number : 304-343-7000
Fax Number : 130-434-3700
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2006
Last Update Date : 11/05/2013

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