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Individual

MR. KEVIN DALE MILLER I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
937 CAMPBELLSVILLE RD, COLUMBIA, KY 42728-2265
(270) 385-9139
(270) 385-9083
Mailing address
937 CAMPBELLSVILLE RD STE 907, COLUMBIA, KY 42728-2265
(270) 385-9139
(270) 385-9083

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010448
KY

Other

Enumeration date
03/07/2007
Last updated
01/20/2021
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