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Kevyn J Miller, PA

Physician Assistant in Leeds, MA. Individual provider (NPI-1).

NPI number1124096953
StatusActive
Last updated in NPPESMay 18, 2023

Details

NPI
1124096953
Entity type
Individual (NPI-1)
Name
Kevyn J Miller
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
Mar 9, 2006
Certification date
May 18, 2023
Last updated
May 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant1680MAYes
363AM0700X Physician Assistant, Medical0010-01620NC
363AM0700X Physician Assistant, Medical1680MA

Practice location

421 N Main St
Leeds, MA 01053-9764

Phone 413-584-4040

Mailing address

Po Box 601943
Charlotte, NC 28260-1943

Phone 704-512-6850

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Other Physician Assistant providers in Leeds, MA

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