Individual
RANDALL MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1210 W 5TH ST, LONDON, KY 40741-2112
(606) 864-4040
(606) 878-3151
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7840
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC546
KY
Other
Enumeration date
10/19/2016
Last updated
05/03/2019
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