Individual
KAYLA NICOLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
557 N WASHINGTON ST, JANESVILLE, WI 53548-2907
(608) 754-6000
(608) 755-7892
Mailing address
557 N WASHINGTON ST, JANESVILLE, WI 53548-2907
(608) 754-6000
(608) 755-7892
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
73105-20
WI
207QS0010X
Sports Medicine (Family Medicine) Physician
98329
GA
390200000X
Student in an Organized Health Care Education/Training Program
7186-851
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1171
MERCYCARE INSURANCE
WI
01
—
1760969554
BCBSWI
WI
05
—
1760969554
—
WI
01
—
K400668833
WI MEDICARE
WI
Enumeration date
07/24/2018
Last updated
01/08/2024
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