Organization
RICHARD S MILES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD S MILES MD (PRESIDENT OWNER MD)
(270) 866-2440
Entity
Organization
Contact information
Practice address
124 DOWELL RD, RUSSELL SPGS, KY 42642
(270) 866-2440
(270) 866-2442
Mailing address
124 DOWELL RD, RUSSELL SPGS, KY 42642
(270) 866-2440
(270) 866-2442
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19700
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047852
ANTHEM BCBS
—
05
—
64197007
—
KY
Enumeration date
12/31/2007
Last updated
12/31/2007
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