Individual
DR. KAYLA R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
615 N PROMENADE ST, HAVANA, IL 62644-1243
(309) 543-6600
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125065513
IL
208000000X
Pediatrics Physician
125065513
IL
Other
Enumeration date
06/25/2014
Last updated
05/26/2020
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