Provider Demographics
NPI:1386956340
Name:MILLER, KATHRYN (MS)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 WINDROSE WAY
Mailing Address - Street 2:
Mailing Address - City:WATERVLIET
Mailing Address - State:NY
Mailing Address - Zip Code:12189-1131
Mailing Address - Country:US
Mailing Address - Phone:518-530-3456
Mailing Address - Fax:833-882-3209
Practice Address - Street 1:1 SOUTH PENN SQUARE
Practice Address - Street 2:SUITE 960
Practice Address - City:PHILADELPHA
Practice Address - State:PA
Practice Address - Zip Code:19107
Practice Address - Country:US
Practice Address - Phone:518-530-3456
Practice Address - Fax:833-882-3209
Is Sole Proprietor?:No
Enumeration Date:2010-07-07
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS