Provider Demographics
NPI:1811799612
Name:MILLER, KALEA MILLIANI (BA)
Entity type:Individual
Prefix:
First Name:KALEA
Middle Name:MILLIANI
Last Name:MILLER
Suffix:
Gender:
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3450 US ROUTE 60 E
Mailing Address - Street 2:
Mailing Address - City:BARBOURSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25504-1609
Mailing Address - Country:US
Mailing Address - Phone:304-733-0036
Mailing Address - Fax:
Practice Address - Street 1:24 MEADOW LN
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25704-9495
Practice Address - Country:US
Practice Address - Phone:304-541-8672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator