Individual
KENT D MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2055 KIMBALL AVE, SUITE 330, WATERLOO, IA 50702-5014
(319) 272-1825
(319) 272-1829
Mailing address
PO BOX 2818, WATERLOO, IA 50704-2818
(319) 233-3044
(319) 233-0722
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01915
IA
Other
Enumeration date
12/19/2005
Last updated
08/27/2014
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