Kenneth L Miller in Farmington - Diagnostic Radiology

Kenneth L Miller - NPI 1992715122

Kenneth L Miller is a Diagnostic Radiology in Farmington, Missouri. Kenneth L Miller practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Kenneth L Miller is 1992715122. The last update date is 2007-11-26.

Kenneth L Miller's current location address is Po Box 629, Farmington, Missouri. You can contact this provider via phone number 5737608075 and fax number 3148212180. The mailing address for Kenneth L Miller is Po Box 629, Farmington, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth L Miller
Address Po Box 629, Farmington, Missouri
Phone Number 5737608075
Fax Number 3148212180
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1992715122
Provider Enumeration Date 2006-08-09
Last Updated Date 2007-11-26

Provider Mailing Address Detail

Address Po Box 629
City Farmington
State Missouri (MO)
Post Code 63640
Phone Number 5737608075
Fax Number 3148212180

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 109972
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
109972 LICENSE NUMBER
8707 HEALTHCARE
945K1 MO BLUE
14989V14989 GHP
290568 CMR
290568 HL
G23727 NATIONAL REGISTRY NUMBER
290568 AMER MEDSE
945K1 MO BCBS MO
945K1 IL BLUE

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FAQs about Kenneth L Miller

What is the unique 10-digit identifier code assigned to Kenneth L Miller by the Centers for Medicare & Medicaid Services?

The Kenneth L Miller has been issued the NPI (National Provider Identifier) 1992715122 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Kenneth L Miller is physically located?

The Kenneth L Miller is situated at the following address: Po Box 629, Farmington, MO 63640.

What is Kenneth L Miller's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kenneth L Miller's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.

When did Kenneth L Miller receive its 1992715122 assignment?

The Kenneth L Miller was assigned its 1992715122 on 2006-08-09, which is the date when this unique identifier was issued to the organization.

When was the information related to Kenneth L Miller most recently updated or refreshed?

The details pertaining to the Kenneth L Miller, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-26.

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