Healthcare Provider Details
I. General information
NPI: 1134221955
Provider Name (Legal Business Name): KAREN E.K. MILLER D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/02/2006
Last Update Date: 05/05/2021
Certification Date: 05/05/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1078 COTA ST
SANTA YNEZ CA
93460-9361
US
IV. Provider business mailing address
1078 COTA ST STE A
SANTA YNEZ CA
93460-9361
US
V. Phone/Fax
- Phone: 805-636-9376
- Fax:
- Phone: 805-636-9376
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NI0900X |
| Taxonomy | Internist Chiropractor |
| License Number | DC29141 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | DC29141 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: