Individual
JAMES JASON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 SHELBY STATION DR, LOUISVILLE, KY 40245-4186
(502) 254-0009
(502) 753-6460
Mailing address
300 SHELBY STATION DR, LOUISVILLE, KY 40245-4186
(502) 254-0009
(502) 753-6460
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
01059429A
IN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
40667
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000516482
ANTHEM - NREHABPHYS
—
01
—
086082
SIHO - NREHABPHYS
—
05
—
200871920
—
IN
05
—
7100027220
—
KY
01
—
P00450883
RAILROAD MEDICARE
IN
Enumeration date
02/06/2007
Last updated
06/19/2013
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