MEDICARE: DR. SUZANNE KILCOYNE MILLER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	04-40617	KS
2	208M00000X	Hospitalist Physician	35398	OK
3	207R00000X	Internal Medicine Physician	MD.41789	AL
4	207R00000X	Internal Medicine Physician	590436	TX
5	207R00000X	Internal Medicine Physician	2015044738	MO
6	208M00000X	Hospitalist Physician	Q7081	TX
7	207R00000X	Internal Medicine Physician	MD2015-0887	NM

General Provider Information

NPI Number	:	1568734424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUZANNE KILCOYNE MILLER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 649
Second Line	:
City	:	FORT DEFIANCE
State	:	AZ
Zip	:	86504-0649
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6411 FANNIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1501
Country	:	US
Telephone Number	:	713-252-3230
Fax Number	:	713-500-6882

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2012
Last Update Date	:	01/26/2026

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