Miller, Kelly Patrick

Miller, Kelly Patrick is an individual health care provider with primary practice located at 423 S Washington St , Gettysburg PA 17325-2526. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Miller, Kelly Patrick can be contacted via phone (717) 339-3165.

Contact Information

Primary practice address
423 S Washington St Gettysburg PA 17325-2526
Fax: (717) 334-3140
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD045416L Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD045416L Pennsylvania

Profile Details

NPI number 1659364255
LBN Legal business name Miller, Kelly Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Apr 22nd, 2022 - about 2 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 1659364255 NPPES
Pennsylvania MEDICAID 001593262

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