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

Tatum Kennedy Miller

Individual provider Licensed Practical Nurse · NPI 1548025166

Tatum Kennedy Miller is a Licensed Practical Nurse in Bay Shore, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

28 19th Ave
Bay Shore, NY 11706-3137
Phone: (631) 426-9500
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 348850 (NY)

Record details

NPI number1548025166
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 14, 2024
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024

Other providers in Bay Shore