Individual
KEVIN J MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017
(859) 287-3045
(859) 578-3800
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 287-3045
(859) 578-3800
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01086666A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
28774
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2116196
—
OH
05
—
64287444
—
KY
01
—
P00920123
RR MEDICARE
KY
Enumeration date
08/26/2005
Last updated
12/23/2025
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