Kerri Dianne Miller, RN
Individual provider Active NPI Case Management Registered Nurse · Rockfield, KY
NPI 1497963391 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497963391
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Registered Nurse 163WC0400X
- License
- 1110646 (KY)
- Practice address
- 2759 Petros Browning Rd
Rockfield, KY 42274-9762 - Phone
- (270) 535-2855
- Fax
- (270) 846-2855
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1110646 | KY | MD | Case Management Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 1110646 | KY | Yes |
Addresses
Primary practice location
2759 Petros Browning Rd
Rockfield, KY 42274-9762
Mailing address
2759 Petros Browning Rd
Rockfield, KY 42274-9762
Phone (270) 535-2855
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.