Individual
DR. KEVIN J MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2605 E CREEKS EDGE DR, BLOOMINGTON, IN 47401-8368
(812) 355-2300
(812) 355-2302
Mailing address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 355-2300
(812) 355-2302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01074912A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
01074912A
IN
Other
Enumeration date
03/20/2012
Last updated
12/18/2020
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