Individual
MS. LADONNA ANN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST/CSFA, KCSA
Contact information
Practice address
2601 KENTUCKY AVE, DOCTOR'S BUILDING 1, SUITE 103, PADUCAH, KY 42003-3817
(270) 444-9199
Mailing address
2707 MADISON ST, PADUCAH, KY 42001-3733
(270) 217-3276
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
106545
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA227
KENTUCKY BOARD OF MEDICAL LICENSURE
KY
Enumeration date
07/01/2009
Last updated
04/09/2012
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