Provider Demographics
NPI:1447035639
Name:MILLER, PARIS ABRIL
Entity type:Individual
Prefix:
First Name:PARIS
Middle Name:ABRIL
Last Name:MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PARIS
Other - Middle Name:ABRIL
Other - Last Name:MADDOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3231 SAINT ANN ST
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-7060
Mailing Address - Country:US
Mailing Address - Phone:270-929-3878
Mailing Address - Fax:
Practice Address - Street 1:4505 LUCKY STRIKE LOOP
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-7766
Practice Address - Country:US
Practice Address - Phone:270-240-4892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator