Individual provider · Type 1 NPI

Kenzie Miller

Nurse Practitioner · Canton, OH

NPI number 1013388248 Active

Practice location

2600 Tuscarawas St W
Canton, OH 44708-4644

Mailing address

3215 Foxford Ct
Akron, OH 44312-4654

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XCOA.18149-NP (OH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1013388248

Kenzie Miller's National Provider Identifier is 1013388248, issued on Oct 14, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Canton, OH. The record was last updated on Oct 14, 2015.