Most Relevant Information
Provider Data
| NPI Number: | 1003421033 |
| Provider Name: | KELLY N MILES MS, RNC, NNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 163WN0002X |
| Specialty: | Registered Nurse |
| License Number: | 687171 |
Most Important Dates
| Enumeration Date: | 09/15/2020 |
| Last Updated: | 09/16/2020 |
Provider Practice Location
43 NEW SCOTLAND AVE
ALBANY
NY
122083478
Practice Location Phone/Fax
| Phone: | 5182629200 |
| Fax: |
Provider Mailing Location
43 NEW SCOTLAND AVE
ALBANY
NY
122083478
Provider Mailing Phone/Fax
| Phone: | 5182629200 |
| Fax: |