Individual
DR. KEVIN C MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, AT, ATC
Contact information
Practice address
CMU, 1208 HPB, MT PLEASANT, MI 48859-0001
(989) 774-2813
Mailing address
CMU, 1208 HPB, MT PLEASANT, MI 48859-0001
(989) 774-2813
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001163
MI
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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