Individual provider · Type 1 NPI
Kelly Miller, RN, CCRN
Critical Care Medicine Registered Nurse · Port Jefferson, NY
NPI number
1114546652
Active
Practice location
75 N Country Rd
Port Jefferson, NY 11777-2119
Mailing address
1 Bobcat Ln
East Setauket, NY 11733-3602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | 735050 (NY) |
Critical Care Medicine Registered Nurse: Definition to come...
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About NPI 1114546652
Kelly Miller, RN, CCRN's National Provider Identifier is 1114546652, issued on Apr 14, 2020. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Port Jefferson, NY. The record was last updated on Apr 14, 2020.