MR. Kelly Michael Miller, IDC
NPI #1205045481 in Kaneohe Bay, Hawaii
Provider Information
- NPI Number
- 1205045481
- Entity Type
- Individual
- Name
- MR. Kelly Michael Miller, IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- May 22, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- COMMANDING OFFICER MEDICAL COMPANY
- Address 2
- CSSG-3 BOX 63067 MCBH
- City
- Kaneohe Bay
- State
- Hawaii
- ZIP Code
- 96863
- Phone
- (808) 257-1572
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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