Individual
CAROLYN KELLEY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
855 ILLINI DR STE 203, SILVIS, IL 61282-2904
(309) 281-4812
(309) 281-4859
Mailing address
855 ILLINI DR STE 203, SILVIS, IL 61282-2904
(309) 281-4812
(309) 281-4859
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
32875
IA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
32875
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2202424
—
IA
Enumeration date
08/09/2005
Last updated
04/07/2021
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