Provider Demographics
NPI:1770553067
Name:MILLER, FRANK DENTON (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:DENTON
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:92 JOE T PETTY DRIVE
Mailing Address - Street 2:
Mailing Address - City:RUSSELL SPRINGS
Mailing Address - State:KY
Mailing Address - Zip Code:42642
Mailing Address - Country:US
Mailing Address - Phone:270-866-7611
Mailing Address - Fax:270-866-7613
Practice Address - Street 1:92 JOE T PETTY DRIVE
Practice Address - Street 2:
Practice Address - City:RUSSELL SPRINGS
Practice Address - State:KY
Practice Address - Zip Code:42642
Practice Address - Country:US
Practice Address - Phone:270-866-7611
Practice Address - Fax:270-866-7613
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL15873207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051005024OtherBLUE CROSS
AL009941416Medicaid
AL051005024OtherBLUE CROSS
AL051558150Medicare ID - Type Unspecified