Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD16277 | RI |
Y | 207VX0201X | Gynecologic Oncologist | MD16277 | RI |
NPI | 1558775577 |
---|---|
Provider Name | Katherine G Miller |
First Address | Warwick, RI 02886-2759 |
Second Address | Providence, RI 02903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2014 |
Last Update Date | 13/09/2021 |