Mr Larry Owen Miller, RD, LD is a
Dietitian, Registered based in Tompkinsville, Kentucky. Mr Larry Owen Miller is licensed to practice in Kentucky (license number KY-1995) and his current practice location is
452 E. 4th St, Tompkinsville, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(270) 487-6782.
NPI number for Mr Larry Owen Miller is 1710011200 and his current mailing address is 202 Woodhaven Dr, Tompkinsville, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710011200.
Healthcare Provider's Profile
Full Name | Mr Larry Owen Miller |
---|
Gender | Male |
---|
Speciality | Dietitian, Registered |
---|
Location | 452 E. 4th St, Tompkinsville, Kentucky |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710011200
- Provider Enumeration Date: 03/15/2007
- Last Update Date: 12/13/2007
Medical Identifiers
Medical identifiers for Mr Larry Owen Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710011200 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | KY-1995 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Larry Owen Miller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Larry Owen Miller, RD, LD 202 Woodhaven Dr, Tompkinsville, KY 42167-1878 Ph: (270) 487-9399 | Mr Larry Owen Miller, RD, LD 452 E. 4th St, Tompkinsville, KY 42167 Ph: (270) 487-6782 |
Reviews and Comments