Dr. Kathleen Elizabeth Miller, MD
Pediatrics in Philadelphia, PA. Individual provider (NPI-1).
NPI number1407585599
StatusActive
Last updated in NPPESJun 6, 2022
Details
- NPI
- 1407585599
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kathleen Elizabeth Miller
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2022
- Certification date
- Jun 6, 2022
- Last updated
- Jun 6, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | MT225949 | PA | Yes |
Practice location
3401 Civic Center BlvdDivision Of General Pediatrics
Philadelphia, PA 19104-4319
Phone 215-590-1220
Mailing address
3401 Civic Center BlvdDivision Of General Pediatrics
Philadelphia, PA 19104-4319
Phone 215-590-1220
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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