Individual
MICHAEL K MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
1721 NICHOLASVILLE RD, LEXINGTON, KY 40503-1428
(859) 252-6500
(859) 252-3073
Mailing address
1721 NICHOLASVILLE RD, LEXINGTON, KY 40503-1428
(859) 252-6500
(859) 252-3073
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007032
KY
363LF0000X
Family Nurse Practitioner
3007032
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD2933
RR MEDICARE
KY
Enumeration date
09/02/2011
Last updated
12/23/2014
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