Active NPIIndividual provider

Kevyn J Miller, PA

Physician Assistant in Leeds, Massachusetts

NPI Number1124096953
Practice location
421 N Main St, Leeds, MA 01053-9764
Fax
—
Last updated
May 18, 2023

Kevyn J Miller is a Physician Assistant based in Leeds, MA. Kevyn J Miller practices in Leeds, MA and has the professional credentials of PA. The NPI Number for Kevyn J Miller is 1124096953 and holds a License No. 0010-01620 (NC). The current practice location address for Kevyn J Miller is 421 N Main St, Leeds, MA 01053-9764 and can be reached out via phone at 413-584-4040.

Provider Profile Details

NPI Number
1124096953
Provider Name
Kevyn J Miller
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
421 N Main St, Leeds, MA 01053-9764
Phone Number
413-584-4040
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
March 9, 2006
Last Update Date
May 18, 2023
Certification Date
May 18, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
421 N Main St
Leeds, MA 01053-9764
City
Leeds
Zip
01053-9764
Phone Number
413-584-4040
Leeds, MA 01053Get directions →

Provider Business Mailing Address Details

Address
Po Box 601943
Charlotte, NC 28260-1943
City
Charlotte
State
NC
Zip
28260-1943
Phone Number
704-512-6850

License Information

License Number (1)
0010-01620
License State (1)
NC
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
1680
License State (2)
MA
Taxonomy (2)
Physician Assistant · 363A00000X · Primary
License Number (3)
1680
License State (3)
MA
Taxonomy (3)
Physician Assistant, Medical · 363AM0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kevyn J Miller, PA?

The NPI number of Kevyn J Miller, PA is 1124096953. It was assigned on March 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Kevyn J Miller, PA?

Kevyn J Miller, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NC under license number 0010-01620.

Where does Kevyn J Miller, PA practice?

The practice location is 421 N Main St, Leeds, MA 01053-9764. The office can be reached at 413-584-4040 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124096953 directly on the NPPES registry website.

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