Provider Demographics
NPI:1497415673
Name:MILLER, KATHI (NBC-HWC)
Entity Type:Individual
Prefix:
First Name:KATHI
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1834 TRENT DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-4622
Mailing Address - Country:US
Mailing Address - Phone:817-507-8347
Mailing Address - Fax:
Practice Address - Street 1:1834 TRENT DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-4622
Practice Address - Country:US
Practice Address - Phone:817-507-8347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-29
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date: