| Doctor Name: | MR. LARRY OWEN MILLER |
| NPI Number: | 1710011200 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RD, LD |
| License Number: | KY-1995 |
| Business Practice Address: | 452 E. 4th St Tompkinsville, KY - 42167 |
| Business Phone Number: | 2704876782 |
| Business Fax Number: | 2704875457 |
| Mailing Address: | 202 Woodhaven Dr, TOMPKINSVILLE |
| State: | KY |
| Postal Code: | 421671878 |
| Phone Number: | 2704879399 |
| Fax Number: | 2704878926 |
| NPI Enumeration Date: | 03/15/2007 |
| NPI Last Update Date: | 12/13/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | KY-1995 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |