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Contact Information

KEITH R MILLS, MD
20 KINGFISHER ROAD
NEW HARBOR, ME04554
 Phone: 307-262-5949
 Fax: 844-320-9753
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KEITH R MILLS · (Male)

NPI # 1053400598
Status Active
Credentials MD
Entity Individual
Enumeration date 10/12/2006
Last updated 07/07/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OR License # CP206749
  • WY License # 6639A
  • WY Medicaid 116613100
Hospital affiliation(s)
  • SKY LAKES MEDICAL CENTER - (Acute Care)
    2865 DAGGETT AVENUE
    KLAMATH FALLS, OR 97601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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