Individual
KATHLEEN M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1015 MICHIGAN AVE, LOGANSPORT, IN 46947-1526
(574) 722-5151
(574) 739-1414
Mailing address
1015 MICHIGAN AVE, LOGANSPORT, IN 46947-1526
(574) 722-5151
(574) 739-1414
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01035452A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
01035452A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100352240
—
IN
Enumeration date
09/20/2006
Last updated
10/17/2017
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