Miller, Kayla Nicole

Miller, Kayla Nicole is an individual health care provider with primary practice located at 557 N Washington St , Janesville WI 53548-2907. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Miller, Kayla Nicole can be contacted via phone (608) 754-6000.

Contact Information

Primary practice address
557 N Washington St Janesville WI 53548-2907
Phone: (608) 754-6000
Fax: (608) 755-7892
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 98329 Georgia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 7186-851 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 73105-20 Wisconsin

Profile Details

NPI number 1760969554
LBN Legal business name Miller, Kayla Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2018
Last updated Jan 8th, 2024 - about 8 months 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 1760969554 NPPES
Wisconsin MEDICAID 1760969554
Wisconsin Other 1760969554
Wisconsin Other K400668833
Wisconsin Other 1171

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