KELLY MICHAEL MILLER

KANEOHE BAY, HI
NPI1205045481
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2007-05-22
Last Update Date2007-07-08
Business Address
Mr. KELLY MICHAEL MILLER IDC
COMMANDING OFFICER MEDICAL COMPANY CSSG-3 BOX 63067 MCBH
KANEOHE BAY, HI 96863
Phone number: 808-257-1572
Mailing Address
Mr. KELLY MICHAEL MILLER IDC
46-271 KAHUHIPA ST APT E109
KANEOHE, HI 96744-6024
Phone number: 808-271-5490