| Doctor Name: | DR. KEVIN BURTUS MILLER |
| NPI Number: | 1598702110 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 26000 |
| Business Practice Address: | 400 Dewey Street Wisconsin Rapids, WI - 544944715 |
| Business Phone Number: | 7154244141 |
| Business Fax Number: | 7154244152 |
| Mailing Address: | Po Box 309, WISCONSIN RAPIDS |
| State: | WI |
| Postal Code: | 544950309 |
| Phone Number: | 7154244141 |
| Fax Number: | 7154244152 |
| NPI Enumeration Date: | 06/01/2006 |
| NPI Last Update Date: | 09/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 26000 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |