Individual
KIRK A. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 ROBBINS RD, SUITE 401, BOISE, ID 83702-4565
(208) 489-4279
(208) 424-8555
Mailing address
PO BOX 9589, BOISE, ID 83707-4589
(208) 472-8123
(208) 344-1926
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M6844
ID
207LP2900X
Pain Medicine (Anesthesiology) Physician
M6844
ID
208D00000X
General Practice Physician
M6844
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003819100
—
ID
Enumeration date
05/27/2006
Last updated
12/14/2017
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