Kenneth Miller in Fort Myers - Physician Assistant

Kenneth Miller - NPI 1891740015

Kenneth Miller is a Physician Assistant in Fort Myers, Florida. Kenneth Miller practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kenneth Miller is 1891740015. The last update date is 2019-12-02.

Kenneth Miller's current location address is 2675 Winkler Ave Fl 2, Fort Myers, Florida. You can contact this provider via phone number 8778563774. The mailing address for Kenneth Miller is 2675 Winkler Ave Fl 2, Fort Myers, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Miller
Address 2675 Winkler Ave Fl 2, Fort Myers, Florida
Phone Number 8778563774
Fax Number
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1891740015
Provider Enumeration Date 2006-05-24
Last Updated Date 2019-12-02

Provider Mailing Address Detail

Address 2675 Winkler Ave Fl 2
City Fort Myers
State Florida (FL)
Post Code 339019342
Phone Number 8778563774
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 2039
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Kenneth Miller

What is the Kenneth Miller's unique identification number?

The Kenneth Miller has been assigned the NPI (National Provider Identifier) Number 1891740015 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

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

The Kenneth Miller is situated at the following address: 2675 Winkler Ave Fl 2, Fort Myers, FL, 339019342.

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

The Kenneth Miller's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

On what date was the 1891740015 assigned to Kenneth Miller?

The Kenneth Miller was issued its 1891740015 on 2006-05-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Kenneth Miller, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kenneth Miller, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-12-02.

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