Provider Demographics
NPI:1679729354
Name:MILLAR, KIM HUTCHINS (MD)
Entity Type:Individual
Prefix:DR
First Name:KIM
Middle Name:HUTCHINS
Last Name:MILLAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 N. HARRISON ST.
Mailing Address - Street 2:PRINCETON NASSAU PEDIATRICS
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540
Mailing Address - Country:US
Mailing Address - Phone:609-924-5510
Mailing Address - Fax:609-924-3577
Practice Address - Street 1:301 N. HARRISON ST.
Practice Address - Street 2:PRINCETON NASSAU PEDIATRICS
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540
Practice Address - Country:US
Practice Address - Phone:609-924-5510
Practice Address - Fax:609-924-3577
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04994000208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics