Kelly D Miller, APN | |
9527 W Ridge Trail Rd, Soddy Daisy, TN 37379-4018 | |
(423) 209-5490 | |
(423) 498-4584 |
Full Name | Kelly D Miller |
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Gender | Female |
Speciality | Nurse Practitioner - Obstetrics & Gynecology |
Location | 9527 W Ridge Trail Rd, Soddy Daisy, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1346559895 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | APN0000015146 (Tennessee) | Primary |
Entity Name | Hormones 4 Life Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487190914 PECOS PAC ID: 2466737275 Enrollment ID: O20170317000936 |
Mailing Address | Practice Location Address |
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Kelly D Miller, APN 921 E 3rd St, Chattanooga, TN 37403-2102 Ph: (423) 209-8000 | Kelly D Miller, APN 9527 W Ridge Trail Rd, Soddy Daisy, TN 37379-4018 Ph: (423) 209-5490 |
Patrice Vivienne Henry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Walmart Dr, Soddy Daisy, TN 37379 Phone: 423-332-6155 Fax: 423-332-5293 | |
Mr. Brandon Edmondson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2027 Ell Rd, Soddy Daisy, TN 37379 Phone: 423-605-9512 | |
Abbey Roe Elverd, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 Walmart Dr, Soddy Daisy, TN 37379 Phone: 423-332-6155 Fax: 423-332-5293 | |
Mrs. Lilly Esther Fotiadis, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9826 Hixson Pike, Soddy Daisy, TN 37379 Phone: 423-847-6451 | |
Angela Fuller, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1923 Port Royal Dr, Soddy Daisy, TN 37379 Phone: 423-602-1544 | |
Mr. Michael L Ascough, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9389 Dayton Pike, Soddy Daisy, TN 37379 Phone: 225-757-1023 | |
Mrs. Amy Katherine Farlett, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Walmart Dr, Soddy Daisy, TN 37379 Phone: 423-332-6155 Fax: 423-332-5293 |