Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 46509 | KY |
NPI | 1235395781 |
---|---|
Provider Name | Natalie Beaven Miller |
First Address | Louisville, KY 40223-2992 |
Second Address | Louisville, KY 40223-2992 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2008 |
Last Update Date | 16/03/2021 |