Kellianne Miller
Specialist in Brooklyn, NY. Individual provider (NPI-1).
NPI number1124959697
StatusActive
Last updated in NPPESMay 26, 2026
Details
- NPI
- 1124959697
- Entity type
- Individual (NPI-1)
- Name
- Kellianne Miller
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 26, 2026
- Certification date
- May 26, 2026
- Last updated
- May 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
89 Bartlett StBrooklyn, NY 11206-4463
Phone 718-384-2418
Mailing address
89 Bartlett StBrooklyn, NY 11206-4463
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