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

Kimberly Michelle Miller, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1023681293

Kimberly Michelle Miller, NURSEPRACTITIONER is a Nurse Practitioner in Lebanon, Virginia. Qualified in 2021, 5 years ago. Practices with Living Water Vein Institute, PC, a 3-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2021

Practice location Address checks out

481 Majestic Valley Rd
Lebanon, VA 24266
Phone: (276) 596-0608
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0024181713 (VA)

Record details

NPI number1023681293
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedJuly 23, 2021
Last updated in NPPESJuly 23, 2021
Certification dateJune 28, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Living Water Vein Institute, Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare