Individual
DR. KEVIN PATRICK MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(605) 251-6100
(608) 258-6259
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 258-6259
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
82053-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407477219
—
WI
Enumeration date
05/04/2020
Last updated
09/19/2023
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