Individual
REBECCA ASHLEY MILAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 852-5875
Mailing address
PO BOX 21249, LOUISVILLE, KY 40221-0249
(502) 852-5875
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
42118
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100080560
—
KY
Enumeration date
02/12/2008
Last updated
03/10/2010
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