Provider Demographics
NPI:1659456101
Name:MILLER, KAREN JEAN (DC)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:JEAN
Last Name:MILLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 N 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:HILL CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67642-2225
Mailing Address - Country:US
Mailing Address - Phone:785-421-2067
Mailing Address - Fax:
Practice Address - Street 1:513 N 10TH AVE
Practice Address - Street 2:
Practice Address - City:HILL CITY
Practice Address - State:KS
Practice Address - Zip Code:67642-2225
Practice Address - Country:US
Practice Address - Phone:785-421-2067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSC-3784111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS007373OtherBLUE CROSS BLUE SHIELD
KST78452Medicare ID - Type Unspecified