Individual
DR. KYLE A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
04-27256
KS
2085R0202X
Diagnostic Radiology Physician
2002022544
MO
2085R0202X
Diagnostic Radiology Physician
20929
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053311
BC/BS PREMIER BLUE
KS
05
—
100317930A
—
KS
Enumeration date
06/30/2006
Last updated
08/08/2016
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