Organization
GEORGE E. MILLER
Active
Parent organization
CRANLEY SURGICAL ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRANLEY SURGICAL ASSOCIATES
Authorized official
CONNIE KNOEBEL (BILLING MANAGER)
(513) 961-4335
Entity
Organization
Contact information
Practice address
20 MEDICAL VILLAGE DR, SUITE 338, EDGEWOOD, KY 41017-5401
(859) 341-5035
(859) 341-9080
Mailing address
3747 W FORK RD, CINCINNATI, OH 45247-7548
(513) 961-4335
(513) 961-4227
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17684
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64-176845
—
KY
01
—
C69638
UPIN
KY
Enumeration date
11/10/2009
Last updated
02/11/2010
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