Miller, Sherry Larrisa

Miller, Sherry Larrisa is an individual health care provider with primary practice located at 101 Town And Country Ln Ste 100 , Hazard KY 41701-9524. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Miller, Sherry Larrisa can be contacted via phone (606) 439-1300.

Contact Information

Primary practice address
101 Town And Country Ln Ste 100 Hazard KY 41701-9524
Fax: (606) 439-1400
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA698 Kentucky

Profile Details

NPI number 1184604878
LBN Legal business name Miller, Sherry Larrisa
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Feb 13th, 2019 - about 7 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 1184604878 NPPES
Kentucky MEDICAID 95001871

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