Individual
KYLE LAMAR MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
20201 CRAWFORD AVE, ATTN: POSTDOCTORAL EDUCATION, OLYMPIA FIELDS, IL 60461-1010
(708) 747-4000
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
05-44838
KS
207RC0000X
Cardiovascular Disease Physician
Primary
2021025229
MO
208M00000X
Hospitalist Physician
02005427A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2015
Last updated
01/04/2022
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