Miller, Kathleen M
Miller, Kathleen M is an individual health care provider with primary practice located at 1015 Michigan Ave , Logansport IN 46947-1526. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Miller, Kathleen M can be contacted via phone (574) 722-5151.Contact Information
Primary practice address
1015 Michigan Ave
Logansport IN 46947-1526
Phone: (574) 722-5151
Fax: (574) 739-1414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 01035452A | Indiana |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 01035452A | Indiana |
Profile Details
| NPI number | 1790883528 |
|---|---|
| LBN Legal business name | Miller, Kathleen M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Oct 17th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790883528 | NPPES |
| Indiana | MEDICAID | 100352240 |
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