Miller, Kanisha R

Miller, Kanisha R is an individual health care provider with primary practice located at 3710 57Th Ave , Kenosha WI 53144-4820. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Miller, Kanisha R can be contacted via phone (262) 652-1474.

Contact Information

Primary practice address
3710 57Th Ave Kenosha WI 53144-4820
Phone: (262) 652-1474
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 10748-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 10748-33 Wisconsin

Profile Details

NPI number 1699341834
LBN Legal business name Miller, Kanisha R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2021
Last updated Aug 3rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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