Provider / Organization | NPI | Date Certified |
---|---|---|
KEVIN JUSTIN MILLS | 1285029074 | 2023-05-07 |
Kevin Justin Mills is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1285029074. Registration indicates Kevin Justin Mills is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Kevin Justin Mills M.D. |
Practice Office Address | 500 UNIVERSITY DR HERSHEY, PA US |
Practice Office Telephone | 7175318903 |
Practice Office Fax | 7175315831 |
Mailing Address | 500 UNIVERSITY DR HERSHEY, PA 170332360 US |
Business Telephone | 7175318903 |
Business Fax | 7175315831 |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |