Individual
KELLY L MILLER
Active
Individual
KELLY L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
D61418
MD
207RI0011X
Interventional Cardiology Physician
Primary
D61418
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004362100
—
MD
01
—
P00434480
MEDICARE RAILROAD
MD
Enumeration date
03/30/2006
Last updated
03/19/2012
Update your record
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