Miller, Kevin

Miller, Kevin is an sole proprietor health care provider with primary practice located at 141-A Mescalero Tr. , Ruidoso NM 88345. He recently has 5 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Critical Care, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Home Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Educational, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pulmonary Diagnostics, Laboratories / Physiological Laboratory. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Home Health is his primary health care specialty. Miller, Kevin can be contacted via phone (575) 257-5083.

Contact Information

Primary practice address
141-A Mescalero Tr. Ruidoso NM 88345
Phone: (575) 257-5083
Fax: (575) 257-5083
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Critical Care 2278C0205X 2032 New Mexico
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Home Health 2278H0200X 2032 New Mexico
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Critical Care 2279C0205X 56124 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Educational 2279E1000X 56124 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Educational 2279E1000X 2032 New Mexico
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Home Health 2279H0200X 56124 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pulmonary Diagnostics 2279P1004X 56124 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pulmonary Diagnostics 2279P1004X 2032 New Mexico
Laboratories / Physiological Laboratory 293D00000X 56124 Texas
Laboratories / Physiological Laboratory 293D00000X 2032 New Mexico

Profile Details

NPI number 1306844915
LBN Legal business name Miller, Kevin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2005
Last updated Apr 9th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306844915 NPPES
Texas MEDICAID 0111049-01

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