Miller, Kelly

Miller, Kelly is an individual health care provider with primary practice located at 75 N Country Rd , Port Jefferson NY 11777-2119. She recently has only one registered license in Nursing Service Providers / Critical Care Medicine, which is considered as her primary health care specialty. Miller, Kelly can be contacted via phone (631) 473-1320.

Contact Information

Primary practice address
75 N Country Rd Port Jefferson NY 11777-2119
Phone: (631) 473-1320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 735050 New York

Profile Details

NPI number 1114546652
LBN Legal business name Miller, Kelly
Credentials RN, CCRN
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2020
Last updated Apr 14th, 2020 - about 5 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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