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Individual

DR. KEVIN E MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3232 E MURDOCK ST, WICHITA, KS 67208-3003
(316) 219-6777
(316) 239-2828
Mailing address
3232 E MURDOCK ST, WICHITA, KS 67208-3003
(316) 219-6777
(316) 239-2828

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
04-22358
KS
207VG0400X
Gynecology Physician
G87808
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200540350A
KS
Enumeration date
09/09/2005
Last updated
10/04/2010
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