Organization
LITTLE KANAWHA FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILLARY D MILLER DO MPH (OWNER PHYSICIAN)
(304) 462-7460
Entity
Organization
Contact information
Practice address
604 W MAIN ST, GLENVILLE, WV 26351
(304) 462-7460
(304) 462-7461
Mailing address
604 W MAIN ST, GLENVILLE, WV 26351
(304) 462-7460
(304) 462-7461
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1999
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810002135
—
WV
Enumeration date
06/19/2006
Last updated
08/22/2020
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