Kevin Miller
Psychologist, Clinical in Fpo, AP. Individual provider (NPI-1).
NPI number1346674009
StatusActive
Last updated in NPPESAug 29, 2013
Details
- NPI
- 1346674009
- Entity type
- Individual (NPI-1)
- Name
- Kevin Miller
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2013
- Last updated
- Aug 29, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY1303 | HI | Yes |
Practice location
Psc 475 Box 1746Usnh Yokosuka
Fpo, AP 96350-1746
Phone 315-264-2641
Mailing address
Psc 475 Box 1746Usnh Yokosuka
Fpo, AP 96350-1746
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