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Individual

DR. CASEY LAINE MILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
615 7TH AVE, BOWLING GREEN, KY 42101-6921
(270) 846-4800
(270) 846-4800
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 559-9378
(502) 272-5339

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
49327
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100416040
KY
Enumeration date
09/25/2009
Last updated
02/01/2024
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