Individual
RODNEY ROSS MILLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
165 NATCHEZ TRACE AVE STE 205, BOWLING GREEN, KY 42103-7947
(270) 745-7246
(270) 282-2027
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01061072A
IN
207L00000X
Anesthesiology Physician
34547
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
34547
KY
208VP0000X
Pain Medicine Physician
34547
KY
208VP0014X
Interventional Pain Medicine Physician
34547
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200808200
—
IN
01
—
389176
FGTBA BCBS ANTHEM #
IN
05
—
64988751
—
KY
Enumeration date
09/13/2005
Last updated
02/25/2025
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