Individual
KIMBERLY V MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 HOPPIN ST, SUITE 202, PROVIDENCE, RI 02903-4141
(401) 444-6551
(401) 444-6587
Mailing address
1 HOPPIN ST, SUITE 202, PROVIDENCE, RI 02903-4141
(401) 444-6551
(401) 444-6587
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD15038
RI
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
MD15038
RI
Other
Enumeration date
08/07/2007
Last updated
10/08/2021
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