Miller, Kyle S
Miller, Kyle S is an sole proprietor health care provider with primary practice located at 109 Falls Ct Suite 400, Boerne TX 78006-2977. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Miller, Kyle S can be contacted via phone (830) 249-5858.Contact Information
Primary practice address
109 Falls Ct Suite 400
Boerne TX 78006-2977
Phone: (830) 249-5858
Fax: (830) 755-8755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 0649 | Texas |
Profile Details
| NPI number | 1679571764 |
|---|---|
| LBN Legal business name | Miller, Kyle S |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Jul 12th, 2007 - about 17 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 | 1679571764 | NPPES |
| Texas | Other | 4198865 | AETNA |
| Texas | Other | 0072GZ | AETNA |
| Texas | MEDICAID | 089559103 | AETNA |
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