Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0205X | Pediatric Endocrinologist | 1006227 | DC |
Y | 2080P0205X | Pediatric Endocrinologist | 229467 | NC |
NPI | 1093822231 |
---|---|
Provider Name | Kathleen Louise Miller |
First Address | Durham, NC 27713-4430 |
Second Address | Durham, NC 27705-3941 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2006 |
Last Update Date | 10/10/2011 |