Individual
KEITH N MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1044 BELMONT AVE, PATHOLOGY CONSULTANTS-CREDENTIALING, YOUNGSTOWN, OH 44504-1006
(330) 480-3768
(330) 480-2062
Mailing address
8166 MARKET ST, PATHOLOGYCONSULTANTS-CREDENTIALS, YOUNGSTOWN, OH 44512-6262
(330) 953-3242
(330) 953-3243
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
34-00-3925-M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0885476
—
OH
Enumeration date
01/27/2006
Last updated
07/14/2016
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