Miller, Kena C

Miller, Kena C is an individual health care provider with primary practice located at 4500 San Pablo Rd S , Jacksonville FL 32224-1865. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Miller, Kena C can be contacted via phone (904) 953-2000.

Contact Information

Primary practice address
4500 San Pablo Rd S Jacksonville FL 32224-1865
Phone: (904) 953-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F332926 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9338186 Florida

Profile Details

NPI number 1942283247
LBN Legal business name Miller, Kena C
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Dec 11th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942283247 NPPES
Florida MEDICAID 007267000

Popular Providers