Kenneth Glen Miller-Kallenba in Rutherfordton - Psychiatry

Kenneth Glen Miller-Kallenba - NPI 1265481865

Kenneth Glen Miller-Kallenba is a Psychiatry in Rutherfordton, North Carolina. Kenneth Glen Miller-Kallenba practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Kenneth Glen Miller-Kallenba is 1265481865. The last update date is 2007-07-08.

Kenneth Glen Miller-Kallenba's current location address is Po Box 878, Rutherfordton, North Carolina. You can contact this provider via phone number 8282877806 and fax number 8282870004. The mailing address for Kenneth Glen Miller-Kallenba is Po Box 878, Rutherfordton, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Glen Miller-Kallenba
Address Po Box 878, Rutherfordton, North Carolina
Phone Number 8282877806
Fax Number 8282870004
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1265481865
Provider Enumeration Date 2006-05-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 878
City Rutherfordton
State North Carolina (NC)
Post Code 28139
Phone Number 8282877806
Fax Number 8282870004

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 9801395
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11634 BCBS

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FAQs about Kenneth Glen Miller-Kallenba

What is the unique identifier code issued to Kenneth Glen Miller-Kallenba by the Centers for Medicare & Medicaid Services (CMS)?

The Kenneth Glen Miller-Kallenba has been assigned the NPI (National Provider Identifier) 1265481865. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Kenneth Glen Miller-Kallenba's facilities are situated?

The facilities of Kenneth Glen Miller-Kallenba are physically located at the following address: Po Box 878, Rutherfordton, NC, 28139.

What is the Kenneth Glen Miller-Kallenba's specialty and taxonomy code?

The Kenneth Glen Miller-Kallenba's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.

On what date did the Kenneth Glen Miller-Kallenba receive the assignment of its 1265481865 from the Centers for Medicare & Medicaid Services?

The Kenneth Glen Miller-Kallenba was issued its 1265481865 by the Centers for Medicare & Medicaid Services on 2006-05-09.

When was the information pertaining to Kenneth Glen Miller-Kallenba most recently updated or revised?

The details related to Kenneth Glen Miller-Kallenba, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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