Individual
KATHY J MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1221 W 5TH ST, LONDON, KY 40741
(606) 864-4744
Mailing address
1221 W 5TH ST, LONDON, KY 40741
(606) 864-4744
(606) 878-7235
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5766
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60057668
—
KY
Enumeration date
09/26/2006
Last updated
07/08/2007
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