KELLY MILLER NPI 1194118463

NPI Information

NPI: 1194118463
Provider Name: KELLY MILLER
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
40965 GRIMMER BLVD
FREMONT, CA
ZIP 94538
Phone: (510) 613-0330
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Kelly Miller is a mental health counselor in Fremont, CA. Kelly Miller NPI is 1194118463. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

40965 GRIMMER BLVD
FREMONT, CA
ZIP 94538-846
Phone: (510) 613-0330

The enumeration date for this NPI number is 3/11/2015 and was last updated on 3/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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