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Individual

KATHRYN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8020 CONSTITUTION PLACE NE, #101, ALBUQUERQUE, NM 87110
(505) 998-1317
(505) 998-1308
Mailing address
8020 CONSTITUTION PLACE NE, #202, ALBUQUERQUE, NM 87110
(505) 998-3096
(505) 998-3100

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
8572
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41486
NM
05
456758
AZ
Enumeration date
02/27/2006
Last updated
06/25/2008
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