Individual
KEVIN JON MILLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9674 ARCHIBALD AVE STE 125, RANCHO CUCAMONGA, CA 91730-7944
(909) 296-8930
(909) 296-8935
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(714) 347-1010
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN543799
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN5437990
—
CA
Enumeration date
12/14/2005
Last updated
05/08/2017
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