Miller, Kathy J

Miller, Kathy J is an individual health care provider with primary practice located at 1221 W 5Th St , London KY 40741. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Miller, Kathy J can be contacted via phone (606) 864-4744.

Contact Information

Primary practice address
1221 W 5Th St London KY 40741
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5766 Kentucky

Profile Details

NPI number 1720189111
LBN Legal business name Miller, Kathy J
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 8th, 2007 - about 18 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 1720189111 NPPES
Kentucky MEDICAID 60057668

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