Individual
DR. KAY T. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6770 DIXIE HWY, SUITE #106, CLARKSTON, MI 48346-2087
(248) 625-0300
(248) 625-0363
Mailing address
2234 COLONIAL BLVD, MANAGED CARE DEPT, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4301058072
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102299
GREAT LAKES HEALTH PLAN - XRAY
MI
01
—
102307
GREAT LAKES HEALTH PLAN - AOAM
MI
01
—
115615
CARE CHOICES HMO PROV. #
MI
05
—
4192919
—
MI
05
—
4253925
—
MI
Enumeration date
02/13/2006
Last updated
10/02/2009
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