Doctor Name: | DR. HOLLY KLINE MILLER |
NPI Number: | 1083841191 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | |
Business Practice Address: | 1919 E Thomas Rd Ambulatory Bldg Phoenix, AZ - 850167710 |
Business Phone Number: | 6029330920 |
Business Fax Number: | 6029332492 |
Mailing Address: | 1919 E Thomas Rd, Bldg 2108, Ste 101 PHOENIX |
State: | AZ |
Postal Code: | 850167710 |
Phone Number: | 6029331814 |
Fax Number: | 6029331820 |
NPI Enumeration Date: | 06/16/2009 |
NPI Last Update Date: | 07/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |