Kelly J Shea Miller
Medical Specialty
Professional ID
- NPI: 1831221068
- PECOS ID: 9032214655
- Enrollment ID: I20070410000401
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 1992
Medical Practices
- Organization Name: The Southeast Permanente Medical Group
- Group Practice ID assigned by PECOS: 6204829013
- Number of Group Practice member: 536
Location
- Address1: 20 Glenlake Pkwy Ne
- Address2:
- City: Atlanta
- State: Georgia
- Zip Code: 30328
- Phone Number: (770)677-6043
Location
- Address1: 3495 Piedmont Rd Ne
- Address2: Building Nine
- City: Atlanta
- State: Georgia
- Zip Code: 30305
- Phone Number: (404)364-7206
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):