Individual
MRS. CAROLINE BREEDEN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
433 YALE DR, LEXINGTON, KY 40517-1547
(859) 494-9770
Mailing address
433 YALE DR, LEXINGTON, KY 40517-1547
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1145259
NCCPA
—
Enumeration date
08/03/2017
Last updated
06/16/2018
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