Individual
GLENN ALAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9342 CEDAR CENTER WAY, LOUISVILLE, KY 40291-4522
(502) 239-3228
(502) 231-2517
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 272-5100
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18240
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000627187
ANTHEM NHC
KY
01
—
107573
SIHO NHC
KY
01
—
2538886
CIGNA
—
Enumeration date
07/26/2006
Last updated
11/09/2015
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