Individual
KAREN L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3111
Mailing address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3111
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
01062543A
IN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01062543
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200848850
—
IN
05
—
200848850A
—
IN
01
—
P00968559
RR MEDICARE
IN
Enumeration date
08/30/2006
Last updated
12/11/2018
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