Provider Demographics
NPI:1992429211
Name:MILLER, KARA J (MS, RDN, CSSD, LDN)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:J
Last Name:MILLER
Suffix:
Gender:F
Credentials:MS, RDN, CSSD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 WHITMAN ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-5075
Mailing Address - Country:US
Mailing Address - Phone:513-387-8313
Mailing Address - Fax:615-472-9871
Practice Address - Street 1:411 WHITMAN ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-5075
Practice Address - Country:US
Practice Address - Phone:513-387-8313
Practice Address - Fax:615-472-9871
Is Sole Proprietor?:No
Enumeration Date:2022-09-29
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3014133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered