Kenneth Miller, MSN, AGCNS-BC, OCN

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

572 Issued in NC

Practice address

2400 W Friendly Ave
Greensboro, NC 27403-1109

Phone

(336) 832-1288

NPI assigned

Jul 25, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1245911122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 OLD CASTLE DR",
            "city": "RANDLEMAN",
            "state": "NC",
            "postal_code": "273178234",
            "telephone_number": "336-460-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W FRIENDLY AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031109",
            "telephone_number": "336-832-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "MSN, AGCNS-BC, OCN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "NC",
            "license": "572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Miller, RN
• Jakira Tanae Miller, LCMHC, LCAS
• James Arthur 'Art' Miller, MD
• Jessica Lee Miller, M.D., MPH
• Joseph L Miller, D.D.S., P.A.
• Kevin Todd Miller, RD, LDN
• Kimberly Miller
• Latoyia Miller, M.S.
• Lee Nathaniel Miller Jr.
• Lisa Miller, MD

• Clinical Nurse Specialist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Nurse Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.