Individual
DR. KEVIN T. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
354 ADAMS, SISTERS, OR 97759
(541) 549-9606
(541) 549-0593
Mailing address
PO BOX 435, SISTERS, OR 97759-0435
(541) 549-9606
(541) 278-8379
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D021606
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134147
—
OR
Enumeration date
01/24/2006
Last updated
08/20/2012
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