Individual
DR. KYLE S MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
109 FALLS CT, SUITE 400, BOERNE, TX 78006-2977
(830) 249-5858
(830) 755-8755
Mailing address
31015 KEENELAND DR, FAIR OAKS RANCH, TX 78015-4247
(830) 249-5858
(830) 755-8755
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0649
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0072GZ
BC/BS OF TEXAS
TX
05
—
089559103
—
TX
01
—
4198865
AETNA
TX
Enumeration date
07/12/2005
Last updated
07/12/2007
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