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Individual

KARYN DIANE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
30 HOPE DR STE 2400, HERSHEY, PA 17033-2036
(717) 531-5638
(717) 531-0983
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455

Taxonomy

Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
PA03846
TX
363A00000X
Physician Assistant
Primary
MA052930
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1031536500001
PA
Enumeration date
10/12/2006
Last updated
11/19/2019
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