Individual
LINDA M. HERMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 JAMES SIMPSON JR WAY, SUITE 301, COVINGTON, KY 41011-0801
(859) 655-8910
(859) 655-8911
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 655-8910
(859) 655-8911
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
39613
KY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
39613
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2599353
—
OH
05
—
64100845
—
KY
01
—
P00263667
RAILROAD MEDICARE
KY
01
—
P00873394
RAILROAD MEDICARE
KY
Enumeration date
06/13/2006
Last updated
10/18/2018
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