Individual
KARA NICOLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2600 N. LIMESTONE, 2ND FLOOR, SPRINGFIELD, OH 45503
(937) 523-9850
(937) 523-9859
Mailing address
2600 N. LIMESTONE, 2ND FLOOR, SPRINGFIELD, OH 45503
(937) 523-9850
(937) 523-9859
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.002639
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075466
—
OH
01
—
H108680
MEDICARE PTAN
OH
01
—
H108681
MEDICARE PTAN
OH
Enumeration date
08/17/2007
Last updated
10/19/2015
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