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Individual
DR. KIM C MILLER
Active
Individual
DR. KIM C MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, ATC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X00996-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000143666
BC/BS
NY
01
—
100651380167
CDPHP
NY
Enumeration date
07/10/2006
Last updated
01/12/2015
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