Individual
KATHERINE J MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
105 PONDER CT, SUITE 104, DANVILLE, KY 40422-9050
(859) 236-4216
(859) 238-9760
Mailing address
3435 SNAFFLE RD, LEXINGTON, KY 40513-1088
(859) 296-9248
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27515
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64275159
—
KY
Enumeration date
04/17/2006
Last updated
03/19/2012
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