MR. KELLY MILLER


Address: 2222 W Iowa Ave, Chickasha, OK 73018-2738
Phone: 4052248111

MR. KELLY MILLER (NPI# 1447384086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447384086
Entity Type Individual
Full Name MR. KELLY MILLER
Credential R.D., L.D.
Practice Address 2222 W Iowa Ave
Chickasha
OK 73018-2738
Mailing Address 1370 N Interstate Dr
Suite 154
Norman
OK 73072-3376
Practice Telephone 4052248111
Practice Fax Number 4052229587
Mailing Telephone 4052248111
Mailing Fax Number 4052229587
Enumeration Date 2007-03-15
Last Update Date 2016-08-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered LD692 OK Dietary & Nutritional Service Providers

Other Providers KELLY MILLER

NPI Name Taxonomy Address Enumeration
1528678810 Kelly Miller Technician 1030 Chapline St Apt 414, Wheeling, WV 26003-2947 2020-08-03
1235691619 Kelly Marie Miller Family Medicine 1420 S Business 61 Ste Def, Bowling Green, MO 63334-5230 2019-04-03
1144710799 Kelly Sue Miller Nurse Practitioner 5500 Armstrong Rd Rm 201, Battle Creek, MI 49037-7314 2018-05-18
1700386356 Kelly Miller Registered Nurse 521 Ethan Dr, Weatherford, TX 76087-3307 2018-02-20
1518471259 Kelly Miller Licensed Practical Nurse 22223 N 1525 East Rd, Danville, IL 61834-8200 2017-11-16
1306297049 Kelly Rita Miller Behavioral Analyst 2267 Cabana Club Court #204, Tampa, FL 33612 2016-06-23
1265892822 Kelly Miller Behavioral Analyst 526 Holly Knoll Rd, Hockessin, DE 19707-9749 2016-02-25
1609266865 Kelly Michaels Miller Social Worker 23 Groves Ave, Alexandria, VA 22305-2508 2015-01-27
1710321948 Kelly A Miller Social Worker 2000 Arapahoe Suite 305, Denver, CO 80205 2013-04-18
1336498872 Kelly Meeann Miller Speech-Language Pathologist 105 S Blair Street, Springdale, AR 72764 2012-08-30

Office Location

Street Address 2222 W IOWA AVE
City CHICKASHA
State OK
Zip Code 73018-2738

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568443000 Virginia L Harr Surgery 2222 W Iowa Ave, Chickasha, OK 73018-2738 2005-11-10
1841833605 Drake M Morris Physical Therapist 2222 W Iowa Ave, Chickasha, OK 73018-2738 2019-10-24
1740842863 Brittany A. C. J. Napoleon Nurse Practitioner 2222 W Iowa Ave, Chickasha, OK 73018-2738 2019-06-28
1376009035 Beyond Vision Care Pllc Optometrist 2222 W Iowa Ave, Chickasha, OK 73018-2738 2019-02-18
1720550676 Cheryl E Warren Nurse Practitioner 2222 W Iowa Ave, Chickasha, OK 73018-2738 2018-12-17
1841774544 Angela Jeanette Thayer Nurse Practitioner 2222 W Iowa Ave, Chickasha, OK 73018-2738 2018-09-18
1154809887 Shaun Hajjari Optometrist 2222 W Iowa Ave, Chickasha, OK 73018-2738 2018-08-03
1558856435 Courtney Dahi Nurse Practitioner 2222 W Iowa Ave, Chickasha, OK 73018 2018-06-25
1821586009 Deandrea Woods Nurse Practitioner 2222 W Iowa Ave, Chickasha, OK 73018 2018-04-24
1902304256 Lacey Danielle Seay Nurse Practitioner 2222 W Iowa Ave, Chickasha, OK 73018-2738 2018-01-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821528662 Cancer Centers of Southwest Oklahoma, LLC Internal Medicine 210 South Mary Bailey Drive, Chickasha, OK 73018 2017-06-14
1821535915 Around The Clock Home Care In Home Supportive Care 313 W Chickasha Ave, Chickasha, OK 73018 2017-01-26
1639535537 Teagan Rae Dorsey Registered Nurse 304 S 29th Street, Chickasha, OK 73018 2016-01-07
1578949327 Megan Griffin Dentist 720 West Grand Ave, Chickasha, OK 73018 2015-08-04
1174933709 Mendy Stone Case Manager/Care Coordinator 1820 Wets Idaho Ave, Chickasha, OK 73018 2014-05-05
1407286735 Martha Allison Shadoan Social Worker 804 W. Choctaw, Chickasha, OK 73018 2013-11-22
1225313521 Shanna Michelle Rice Counselor 198 East Almar Drive, Chickasha, OK 73018 2011-10-18
1306016175 Logsdon Chiropractic, Pllc Clinic/Center 1807 S. 9th, Chickasha, OK 73018 2008-03-07
1518148337 Christopher Lee Ludwell Chiropractor 419 Fieldcrest, Chickasha, OK 73018 2007-11-20
1902098270 Barbara Ann Reilley Schmidt Pediatrics 2222 West Iowa, Chickasha, OK 73018 2007-08-10
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083804488 Kamela Lyniece Ratcliff Dietitian, Registered 1428 W Kansas Ave, Chickasha, OK 73018-2930 2007-07-31
1760693378 Tara Diane Conway Dietitian, Registered 2222 W Iowa Ave, Chickasha, OK 73018-2738 2007-05-24
1194847129 Cynthia D. Wilcox Dietitian, Registered 2220 W Iowa Ave, Chickasha, OK 73018-2738 2007-04-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912506411 Candance Elaine Gabel Dietitian, Registered 220 S 2nd Ct, Stillwater, OK 74074-6732 2020-10-26
1326646852 Lori Mathews Dietitian, Registered 2821 36th Ave Nw Ste 150, Norman, OK 73072-2472 2020-10-16
1437756947 Malorie Scherf Dietitian, Registered 8751 N 97th East Ave Apt 917, Owasso, OK 74055-6887 2020-10-07
1154928216 Shaina Sara Yohannan Dietitian, Registered 9028 Nw 84th St, Yukon, OK 73099-8677 2020-10-01
1598370066 Laci N Patterson Dietitian, Registered 9401 Prosper Dr, Oklahoma City, OK 73151-8811 2020-09-11
1619586534 Amanda Kate Tucker Dietitian, Registered 312 12th Ave Ne, Norman, OK 73071-5238 2020-07-27
1154939452 Cornerstone Nutrition & Diabetes, Pllc Dietitian, Registered 2500 Boardwalk Ste 220, Norman, OK 73069-6593 2020-07-22
1558989335 Angelica Martinez De Loera Dietitian, Registered 7761 Alameda St, Norman, OK 73026-3738 2020-07-08
1326665548 Olivia Jean Trout Dietitian, Registered 4311 Se 57th St, Oklahoma City, OK 73135-3308 2020-07-03
1447875471 Nicholas A Koemel Dietitian, Registered 3724 W 32nd Ave, Stillwater, OK 74074-1724 2020-06-16
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Competitor

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City CHICKASHA
Zip Code 73018

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Dataset Information

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.

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