Miller, Kim C
Miller, Kim C is an individual health care provider with primary practice located at 1661 International Dr Suite 350, Memphis TN 38120-1430. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Miller, Kim C can be contacted via phone (901) 685-2696.Contact Information
Primary practice address
1661 International Dr Suite 350
Memphis TN 38120-1430
Phone: (901) 685-2696
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 28389 | Tennessee |
Profile Details
| NPI number | 1801899372 |
|---|---|
| LBN Legal business name | Miller, Kim C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Mar 3rd, 2008 - about 16 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 | 1801899372 | NPPES |
| Tennessee | MEDICAID | 3835388 |
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