Individual
DONALD LEE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 629-2880
(502) 629-2879
Mailing address
3217 RELIABLE PKWY, CHICAGO, IL 60686-0001
(706) 650-0705
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
028252
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200333630
—
IN
05
—
74001165
—
KY
Enumeration date
05/12/2006
Last updated
09/06/2008
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