DR. KEVIN WAYNE MILLER (NPI# 1407920283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407920283 |
| Entity Type | Individual |
| Full Name | DR. KEVIN WAYNE MILLER |
| Credential | PHD |
| Practice Address |
2131 S Webster Ave Suite 105 Green Bay WI 54301-2288 |
| Practice Telephone | 9203667792 |
| Mailing Telephone | 9203667792 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2010-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2309-057 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204327 | Kevin D Miller | Home Health | 4429 Sahara Pl, Fort Worth, TX 76115-3653 | 2020-10-26 |
| 1447617782 | Kevin C Miller | Specialist/Technologist | Cmu, 1208 Hpb, Mt Pleasant, MI 48859-0001 | 2016-01-18 |
| 1346674009 | Kevin Miller | Psychologist | Psc 475 Box 1746, Usnh Yokosuka, Fpo, AP 96350-1746 | 2013-08-29 |
| 1275827180 | Kevin Price Miller | Dermatology | 1600 N Coalter St Ste 19, Staunton, VA 24401 | 2011-06-08 |
| 1043544380 | Kevin Nathaniel Miller | Licensed Practical Nurse | 12203 Roundtable Drive, Seward, AK 99664-0334 | 2009-09-18 |
| 1407003247 | Kevin Modesto Miller | Dentist | 9871 S Parker Rd, #105, Parker, CO 80134-8802 | 2008-08-22 |
| 1598935454 | Kevin Thomas Miller | Dentist | 121 S. Patterson Ave. #107, Santa Barbara, CA 93111 | 2008-03-06 |
| 1720143308 | Kevin Edward Miller | Dentist | 505 N Sanders St, Helena, MT 59601-4528 | 2006-12-26 |
| 1831260942 | Kevin Ralph Miller | Chiropractor | 1327 Sartori Ave., Torrance, CA 90501 | 2006-11-11 |
| 1255411245 | Kevin Blaine Miller | Dentist | 1564 Constitution Blvd, Rock Hill, SC 29732-3004 | 2006-10-16 |
| Street Address |
2131 S WEBSTER AVE SUITE 105 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-2288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891051363 | Aspen Psychology LLC | Community/Behavioral Health | 2131 S Webster Ave, Suite 105, Green Bay, WI 54301-2288 | 2012-04-09 |
| 1649452608 | Keystone Psychology LLC | Community/Behavioral Health | 2131 S Webster Ave, Suite 105, Green Bay, WI 54301-2288 | 2007-12-02 |
| 1952478687 | Thomas A Doughman | Counselor | 2131 S Webster Ave, Suite 201, Green Bay, WI 54301-2288 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
| 1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| Find all providers in zip 54301 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407979206 | William David Laakso | Psychologist | 700 N Adams St, Green Bay, WI 54301-5145 | 2007-04-08 |
| 1124154612 | Todd Lee Hamilton | Psychologist | 2339 Cedar Rdg, Green Bay, WI 54313-5700 | 2007-02-26 |
| 1114071289 | Bonnie Rae Nussbaum | Psychologist | 3600 Velp Ave Ste 4-a, Green Bay, WI 54313-6503 | 2007-01-23 |
| 1801954474 | Eric John Lund | Psychologist | 1575 Allouez Ave, Green Bay, WI 54311-5639 | 2006-12-05 |
| 1063513125 | Gerald Joseph Wellens | Psychologist | 130 E Walnut Street, Suite 603, Green Bay, WI 54301 | 2006-09-25 |
| 1326564949 | Michelle Schoenleber | Psychologist | 130 E Walnut St, Green Bay, WI 54301-4239 | 2017-08-15 |
| 1245688993 | Andrea Labine, Ph.d LLC | Psychologist | 1039 W Mason St, 116, Green Bay, WI 54303-1842 | 2016-06-02 |
| 1558799940 | Matthew Vendlinski | Psychologist | 2851 University Ave, Green Bay, WI 54311-5855 | 2013-10-22 |
| 1639501323 | Mandy J Kumpula | Psychologist | 2851 University Ave, Green Bay, WI 54311-5855 | 2013-08-05 |
| 1508128901 | Althea L. Noukki | Psychologist | 111 N Jefferson St, Green Bay, WI 54301-5005 | 2012-06-12 |
| Find all providers in GREEN BAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.