Miller, Kevin L
Miller, Kevin L is an individual health care provider with primary practice located at 700 San Gabriel Village Blvd Ste 105, Georgetown TX 78626-5594. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Miller, Kevin L can be contacted via phone (512) 819-9910.Contact Information
Primary practice address
700 San Gabriel Village Blvd Ste 105
Georgetown TX 78626-5594
Phone: (512) 819-9910
Fax: (512) 819-9970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | L1393 | Texas |
Profile Details
| NPI number | 1821059395 |
|---|---|
| LBN Legal business name | Miller, Kevin L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Aug 23rd, 2011 - about 15 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 | 1821059395 | NPPES |
| Texas | Other | 7524367 | AETNA ID |
| Texas | Other | 0034KL | AETNA ID |
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