Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIRK MILLER, PA-C
Active Sole ProprietorKIRK MILLER, PA-C is a Physician Assistant healthcare provider located in MONTROSE, Illinois. NPI 1629515606 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MONTROSE, IL
Registration Details
- NPI Number
- 1629515606
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 27, 2017 (9.5348879703997 yrs)
- Last Updated
- Mar 6, 2019
- License
-
085006955 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16985 N 2400TH STMONTROSE, IL, 624455004Browse IL providers · Browse ZIP 62445
- Phone
- 2172593849
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.