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Contact Information

MINDY KIM MILLER, MD, PHD
905 WILLOW DR
JACKSON, WY83001-9353
 Phone: 130-773-4299
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nuclear Imaging & Therapy

207UN0902X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for MINDY KIM MILLER · (Female)

NPI # 1356861330
Status Active
Credentials MD, PHD
Entity Individual
Enumeration date 06/21/2017
Last updated 06/21/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036119528
Hospital affiliation(s) Not Available
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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