Individual
MR. KEVIN WAYNE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
5115 80TH ST, LUBBOCK, TX 79424-3017
(806) 788-4368
Mailing address
5115 80TH STREET, LUBBOCK, TX 79424
(806) 788-4368
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP139593
TX
363LF0000X
Family Nurse Practitioner
AP139593
TX
Other
Enumeration date
06/03/2019
Last updated
05/30/2024
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