Healthcare Provider Details

I. General information

NPI: 1295791671
Provider Name (Legal Business Name): MATTHEW S MILLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

279 KINGS DAUGHTERS DR STE 308
FRANKFORT KY
40601-6564
US

IV. Provider business mailing address

279 KINGS DAUGHTERS DR STE 308
FRANKFORT KY
40601-6564
US

V. Phone/Fax

Practice location:
  • Phone: 502-875-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number32277
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: