# LITTLE KANAWHA FAMILY MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295770600
- **Authorized official:** HILLARY D MILLER DO MPH (OWNER PHYSICIAN)
- **Authorized official phone:** (304) 462-7460

## Contact information

- **Practice address:** 604 W MAIN ST, GLENVILLE, WV 26351
- **Practice address phone:** (304) 462-7460
- **Practice address fax:** (304) 462-7461
- **Mailing address:** 604 W MAIN ST, GLENVILLE, WV 26351
- **Mailing address phone:** (304) 462-7460
- **Mailing address fax:** (304) 462-7461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1999 | WV | Yes |

## Other

- **Enumeration date:** 06/19/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3810002135 | — | WV |