Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 5575 | KY |
N | 111NX0800X | Chiropractor Orthopedic Specialist | CHR.0007484 | CO |
N | 111NX0800X | Chiropractor Orthopedic Specialist | DC011181 | PA |
NPI | 1275080442 |
---|---|
Provider Name | Dr. Nicole Marie Miller |
First Address | Lexington, KY 40503-3201 |
Second Address | Denver, CO 80209-4626 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2016 |
Last Update Date | 06/08/2018 |