Healthcare Provider Details

I. General information

NPI: 1972697530
Provider Name (Legal Business Name): RACHEL WARE MILLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 10/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ROSE ST 331 WHITNEY HENDRICKSON BUILDING
LEXINGTON KY
40536-0001
US

IV. Provider business mailing address

800 ROSE ST 331 WHITNEY HENDRICKSON BUILDING
LEXINGTON KY
40536-0001
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-2169
  • Fax: 859-323-1602
Mailing address:
  • Phone: 859-323-2169
  • Fax: 859-323-1602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number41346
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: