Individual
KATHERINE E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2141 E PARK CENTER BLVD, BOISE, ID 83706-6701
(208) 302-5000
(208) 302-5025
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 302-5000
(208) 302-5025
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M8922
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806358200
—
ID
Enumeration date
06/30/2006
Last updated
06/01/2016
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