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NPI Code Detail

MEDICARE: KIMBERLY MILLER M.D.

MEDICARE: KIMBERLY 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
1390200000XStudent in an Organized Health Care Education/Training Program
2207Y00000XOtolaryngology Physician70151MN

General Provider Information

NPI Number : 1982059234
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY MILLER M.D.
Provider Business Mailing Address
First Line : 8170 33RD AVE S # MS 21110Q
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55425-4516
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14050 FAIRVIEW DR
Second Line :
City : BURNSVILLE
State : MN
Zip : 55337-5713
Country : US
Telephone Number : 952-993-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2016
Last Update Date : 03/03/2026

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Directions to “ KIMBERLY MILLER M.D.” Practice Location

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