Keisha Jane Miller

NPI #1467941690 in Vinita, Oklahoma

Provider Information

NPI Number: 1467941690
Entity Type: Individual
Name: Keisha Jane Miller
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: May 3, 2018
Last Updated: Sep 12, 2025

Practice Location

Address: 405 E EXCELSIOR AVE
City: Vinita
State: Oklahoma
ZIP Code: 74301-4226
Phone: (918) 825-1405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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