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Individual

DR. RODNEY D MCMILLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217
(502) 777-9961
(502) 379-8791
Mailing address
2100 GARDINER LN STE 207, LOUISVILLE, KY 40205-2948
(502) 777-9961
(502) 379-8791

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18435
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000050007
ANTHEM
KY
01
000000486842
ANTHEM
KY
01
020017843
RAILROAD MEDICARE
KY
01
1049016
PASSPORT
KY
05
64184351
KY
Enumeration date
06/01/2005
Last updated
01/23/2019
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