Individual
SHANE WILLIAM MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-3643
(859) 323-0295
(859) 323-1256
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-7001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TP324
KY
Other
Enumeration date
05/16/2022
Last updated
06/04/2025
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