Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenzie Miller

Individual provider Nurse Practitioner · NPI 1013388248

Kenzie Miller is a Nurse Practitioner in Canton, Ohio. Qualified in 2015, 11 years ago. Practices with Ohio Specialty Physicians Corporation, a 66-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
11
Licensed in
OH
In the registry since
2015
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Practice location Address checks out

2600 Tuscarawas St W
Canton, OH 44708-4644
Phone: (330) 363-9632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence COA.18149-NP (OH)

Record details

NPI number1013388248
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 14, 2015
Last updated in NPPESOctober 14, 2015
Mailing address3215 Foxford Ct, Akron, OH 44312-4654

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ohio Specialty Physicians Corporation — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Canton