Individual
MR. MARK ALLEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 ROSE ST, DEPARTMENT OF ANESTHESIA N202, LEXINGTON, KY 40536-3008
(859) 323-5956
(859) 323-1080
Mailing address
800 ROSE ST, DEPARTMENT OF ANESTHESIA N202, LEXINGTON, KY 40536-0001
(859) 323-5956
(859) 323-1080
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4740A
KY
Other
Enumeration date
07/04/2006
Last updated
08/01/2013
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