MEDICARE: KIRT THOMAS MILLER DPM

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	00348	WV

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	480034210	OTHER		RAILROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1679514673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRT THOMAS MILLER DPM

Provider Business Mailing Address
First Line	:	3075 US ROUTE 60
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25705-8859
Country	:	US
Telephone Number	:	304-528-4600
Fax Number	:

Provider Business Practice Location Address
First Line	:	3075 US ROUTE 60 STE D230
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25705-8859
Country	:	US
Telephone Number	:	304-528-4600
Fax Number	:

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	04/23/2025

3075 US ROUTE 60 STE D265
HUNTINGTON, WV
25705-8859

Practice Phone: 304-528-4600
Practice Fax: 304-399-2280

3075 US ROUTE 60 STE D220
HUNTINGTON, WV
25705-8859