Miller, Mary Kathleen

Miller, Mary Kathleen is an individual health care provider with primary practice located at 806 8Th Street , Springfield SD 57062. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Miller, Mary Kathleen can be contacted via phone (605) 369-2627.

Contact Information

Primary practice address
806 8Th Street Springfield SD 57062
Phone: (605) 369-2627
Fax: (605) 369-5627
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4100 South Dakota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 204 Nebraska
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 45262 Minnesota

Profile Details

NPI number 1992706519
LBN Legal business name Miller, Mary Kathleen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2005
Last updated Nov 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992706519 NPPES
South Dakota MEDICAID 6701142

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