Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 30886 | KY |
N | 111NI0900X | Internist | 30886 | KY |
Y | 207RA0201X | Internist - Allergy & Immunology | 30886 | KY |
NPI | 1427072990 |
---|---|
Provider Name | Beth Ann Miller |
First Address | Lexington, KY 40517-4012 |
Second Address | Lexington, KY 40508-2640 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 10/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64308869 | (05) | KY |
G42450 | (02) |