Kenneth Joel Miller in San Pedro - Ophthalmology
Kenneth Joel Miller - NPI 1073537817
Kenneth Joel Miller is a Ophthalmology in San Pedro, California. Kenneth Joel Miller practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Kenneth Joel Miller is 1073537817. The last update date is 2012-05-31.
Kenneth Joel Miller's current location address is 1360 W 6th St, San Pedro, California. You can contact this provider via phone number 3105479991 and fax number 3105472389. The mailing address for Kenneth Joel Miller is 1360 W 6th St, San Pedro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Joel Miller |
|---|---|
| Address | 1360 W 6th St, San Pedro, California |
| Phone Number | 3105479991 |
| Fax Number | 3105472389 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1073537817 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2012-05-31 |
Provider Mailing Address Detail
| Address | 1360 W 6th St |
|---|---|
| City | San Pedro |
| State | California (CA) |
| Post Code | 907323514 |
| Phone Number | 3105479991 |
| Fax Number | 3105472389 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | C30205 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0042930 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kenneth Joel Miller by the Centers for Medicare & Medicaid Services?
The Kenneth Joel Miller has been issued the NPI (National Provider Identifier) 1073537817. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kenneth Joel Miller?
The Kenneth Joel Miller is situated at 1360 W 6Th St, in the city of San Pedro, state of CA, with the zip code 907323514.
What is the Kenneth Joel Miller's specialty and taxonomy code?
The Kenneth Joel Miller's specialty is Ophthalmology, and the corresponding taxonomy code is 207W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073537817 to Kenneth Joel Miller?
The Centers for Medicare & Medicaid Services assigned the 1073537817 to Kenneth Joel Miller on 2006-07-26.
As of what date were the Kenneth Joel Miller's details last updated?
The information pertaining to the Kenneth Joel Miller, including its address, specialty, and other details, was most recently updated on 2012-05-31.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC