Provider Demographics
NPI:1568668721
Name:MILLER, KATHLEEN ROSINA (RN)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:ROSINA
Last Name:MILLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:2847 OLD HICKORY BLVD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-3718
Mailing Address - Country:US
Mailing Address - Phone:615-862-7942
Mailing Address - Fax:615-880-1986
Practice Address - Street 1:3718 NOLENSVILLE PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-3302
Practice Address - Country:US
Practice Address - Phone:615-862-7942
Practice Address - Fax:615-880-1986
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNRN0000108140163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health