Organization
MILLET INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN JON MILLET C.R.N.A. (NURSE ANESTHETIST)
(909) 844-9215
Entity
Organization
Contact information
Practice address
1111 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3131
(760) 446-8100
(760) 446-8181
Mailing address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN543799
CA
Other
Enumeration date
03/24/2007
Last updated
07/08/2010
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