Individual
MR. LARRY OWEN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, LD
Contact information
Practice address
452 E. 4TH ST, TOMPKINSVILLE, KY 42167
(270) 487-6782
(270) 487-5457
Mailing address
202 WOODHAVEN DR, TOMPKINSVILLE, KY 42167-1878
(270) 487-9399
(270) 487-8926
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
KY-1995
KY
Other
Enumeration date
03/15/2007
Last updated
12/13/2007
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