Individual
MILES STEVEN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 E CHESTNUT ST, SUITE 510, LOUISVILLE, KY 40202-5700
(502) 588-4800
(502) 588-4801
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036068480
IL
2084N0400X
Neurology Physician
Primary
44631
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068480
—
IL
05
—
201182040
—
IN
05
—
7100185370
—
KY
Enumeration date
11/07/2005
Last updated
03/13/2019
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