Individual
KEVIN DAVID MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4273 CORPORATE WAY, MT PLEASANT, MI 48858
(989) 953-4357
(989) 953-4358
Mailing address
4273 CORPORATE WAY, MT PLEASANT, MI 48858-5321
(989) 953-4357
(989) 953-4358
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703107357
MI
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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