Individual
KEITH A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 S 48TH ST, SUITE 600, LINCOLN, NE 68506-1275
(402) 483-3333
(402) 483-3297
Mailing address
1600 S 48TH ST, SUITE 600, LINCOLN, NE 68506-1275
(402) 483-3333
(402) 483-3297
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
22421
NE
207UN0901X
Nuclear Cardiology Physician
2956
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0563866
—
IA
05
—
200255120 A
—
KS
05
—
208742205
—
MO
05
—
47084496100
—
NE
Enumeration date
08/19/2006
Last updated
11/11/2011
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