| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KEVIN B MILLER | 1679579551 | 2024-07-05 |
Kevin B Miller is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1679579551. Registration indicates Kevin B Miller is a provider of services with a specialization in Thoracic Surgery (Cardiothoracic Vascular Surgery) (Allopathic & Osteopathic Physicians, Thoracic Surgery (Cardiothoracic Vascular Surgery),) (All Other Specialties & Provider Types, ) (Thoracic Surgery (Cardiothoracic Vascular Surgery),, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Mr. Kevin B Miller M.D. |
| Practice Office Address | 1960 OGDEN ST STE 540 DENVER, CO US |
| Practice Office Telephone | 3033182440 |
| Practice Office Fax | 3033182485 |
| Mailing Address | 500 ELDORADO BLVD STE 6250 BROOMFIELD, CO 800213408 US |
| Business Telephone | 3032720751 |
| Business Fax | 3033182488 |
| Code | Practice | License No State |
|---|---|---|
| 208G00000X PRIMARY | Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians Thoracic Surgery (Cardiothoracic Vascular Surgery), All Other Specialties & Provider Types Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians | DR.0036350
CO |
| 01363506 | MEDICAID | CO |