Individual
KEVIN G MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
863 BROADWAY, EAST PROVIDENCE, RI 02914-3723
(401) 434-3000
(401) 434-3113
Mailing address
863 BROADWAY, EAST PROVIDENCE, RI 02914-3723
(401) 434-3000
(401) 434-3113
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DCP00308
RI
Other
Enumeration date
01/11/2006
Last updated
07/08/2007
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