Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 00304 | KY |
Y | 222Z00000X | Podiatrist | 00304 | KY |
N | 213E00000X | Podiatrist | 36003377 | OH |
N | 222Z00000X | Podiatrist | 36003377 | OH |
NPI | 1073505608 |
---|---|
Provider Name | Cynthia D Miller |
First Address | Cincinnati, OH 45231-4940 |
Second Address | Cincinnati, OH 45231-4940 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2005 |
Last Update Date | 22/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2487465 | (05) | OH |
80000557 | (05) | KY |