Miller, Carolyn Kelley

Miller, Carolyn Kelley is an individual health care provider with primary practice located at 855 Illini Dr Ste 203 , Silvis IL 61282-2904. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Cytopathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Miller, Carolyn Kelley can be contacted via phone (309) 281-4812.

Contact Information

Primary practice address
855 Illini Dr Ste 203 Silvis IL 61282-2904
Phone: (309) 281-4812
Fax: (309) 281-4859
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 32875 Iowa
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 32875 Iowa

Profile Details

NPI number 1235130766
LBN Legal business name Miller, Carolyn Kelley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Apr 7th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235130766 NPPES
Iowa MEDICAID 2202424

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