Kristin B Miller in Milwaukee - Physician Assistant

Kristin B Miller - NPI 1902068042

Kristin B Miller is a Physician Assistant in Milwaukee, Wisconsin. Kristin B Miller practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kristin B Miller is 1902068042. The last update date is 2016-06-17.

Kristin B Miller's current location address is 2350 N Lake Dr, Milwaukee, Wisconsin. You can contact this provider via phone number 4142987280 and fax number 4142987281. The mailing address for Kristin B Miller is 2350 N Lake Dr, Milwaukee, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Kristin B Miller
Address 2350 N Lake Dr, Milwaukee, Wisconsin
Phone Number 4142987280
Fax Number 4142987281
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1902068042
Provider Enumeration Date 2008-06-30
Last Updated Date 2016-06-17

Provider Mailing Address Detail

Address 2350 N Lake Dr
City Milwaukee
State Wisconsin (WI)
Post Code 532114528
Phone Number 4142987280
Fax Number 4142987281

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 2272
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
420040000 WI --

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FAQs about Kristin B Miller

What is the unique 10-digit identifier code assigned to Kristin B Miller by the Centers for Medicare & Medicaid Services?

The Kristin B Miller has been issued the NPI (National Provider Identifier) 1902068042 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Kristin B Miller's facilities are geographically located?

The facilities of Kristin B Miller are physically situated at the following location: 2350 N Lake Dr, Milwaukee, WI, 532114528.

What is the Kristin B Miller's specialty and taxonomy code?

The Kristin B Miller's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

When did the Kristin B Miller receive its 1902068042?

The Kristin B Miller was issued its 1902068042 on 2008-06-30, which is the date when the organization was assigned this unique identifier.

As of what date were the Kristin B Miller's details last updated?

The information pertaining to the Kristin B Miller, including its address, specialty, and other details, was most recently updated on 2016-06-17.

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