Kathryn B. Miller, P.A.

LBN: Kathryn B. Miller, P.A.
Kathryn B. Miller, P.A. is an health care organization with primary practice located at 5101 Olson Memorial Hwy Suite 4004, Golden Valley MN 55422-5149. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Kathryn B. Miller, P.A. can be contacted via phone (763) 595-7294, or through Miller, Kathryn Brevard via phone (763) 595-7294.

Contact Information

Primary practice address
5101 Olson Memorial Hwy Suite 4004 Golden Valley MN 55422-5149
Phone: (763) 595-7294
Fax: (763) 595-7293
Website:
Map and Directions
Authorized official contact:
Name: Miller, Kathryn Brevard PH.D.
Phone: (763) 595-7294

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4359 Minnesota

Profile Details

NPI number 1114969409
LBN Legal business name Kathryn B. Miller, P.A.
DBA Doing business as
Authorized official Miller, Kathryn Brevard PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated May 20th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114969409 NPPES
Minnesota MEDICAID 023640000
Minnesota Other 365L0MI

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