Individual ProviderKimberly MillerCase Manager/Care CoordinatorOther Service ProvidersPractice Address1102 Commercial Dr, Hammond, LA 70403-5954(985) 662-3799PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly Miller does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1588275838Provider TypeIndividualFull NameMiller, KimberlyGenderFemaleSole ProprietorNoEnumeration Date8/11/2020Last Updated8/17/2020Contact InformationPractice LocationPractice Address1102 Commercial Dr, Hammond, LA 70403-5954Phone(985) 662-3799FaxUnlisted FaxMailing LocationMailing Address1102 Commercial Dr, Hammond, LA 70403-5954Phone(985) 662-3799FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerLouisiana