Individual
KEITH MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3103 BRECKENRIDGE LN STE 5, LOUISVILLE, KY 40220-5730
(502) 709-9585
Mailing address
3038 BROOKHILL CT, GEORGETOWN, IN 47122-9459
(502) 595-8551
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
293909
KY
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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