IndividualActive
Kylie Miller, PA-C
NPI 1952023947 · Physician Assistant · Grand Rapids, MI
Provider details
- NPI number
- 1952023947
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5601013178 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
100 Michigan St Ne
Mc 031
Grand Rapids, MI 49503-2560
Phone: (616) 267-7272
Approximate (ZIP-level) locationGet directions
Mailing address
100 Michigan St Ne
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2022-09-15
- Last updated
- 2026-02-02
- Certified
- 2026-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.