Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 020889 | LA |
NPI | 1083747265 |
---|---|
Provider Name | Karen F. Miller |
First Address | Baton Rouge, LA 70810-4982 |
Second Address | Baton Rouge, LA 70810-4982 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 27/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020889 | LSBME (01) | LA |
26925 | MD (01) | TN |
BM4267135 | DEA (01) | TN |