Provider Demographics
NPI:1578661211
Name:MILLER, KIM LORENE (MS, RN, CPNP)
Entity type:Individual
Prefix:PROF
First Name:KIM
Middle Name:LORENE
Last Name:MILLER
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Gender:F
Credentials:MS, RN, CPNP
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Mailing Address - Street 1:7509 ENGLAND DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-3114
Mailing Address - Country:US
Mailing Address - Phone:214-456-5401
Mailing Address - Fax:214-456-5097
Practice Address - Street 1:1935 MOTOR ST
Practice Address - Street 2:CHILDREN'S MEDICAL CENTER CCBD
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-7701
Practice Address - Country:US
Practice Address - Phone:214-456-5401
Practice Address - Fax:214-456-5097
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TX522254363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics