Kenneth A Miller M D Med Corp

LBN: Kenneth A Miller M D Med Corp
Kenneth A Miller M D Med Corp is an health care organization with primary practice located at 14527 S Bascom Ave , Los Gatos CA 95032-2003. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Kenneth A Miller M D Med Corp can be contacted via phone (408) 356-9111, or through Miller, Kenneth A via phone (408) 356-9111.

Contact Information

Primary practice address
14527 S Bascom Ave Los Gatos CA 95032-2003
Phone: (408) 356-9111
Fax: (408) 365-9113
Website:
Map and Directions
Authorized official contact:
Name: Miller, Kenneth A Doctor of Medicine (MD)
Phone: (408) 356-9111

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G223300 California

Profile Details

NPI number 1295847333
LBN Legal business name Kenneth A Miller M D Med Corp
DBA Doing business as
Authorized official Miller, Kenneth A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295847333 NPPES
California Other G223300 CAL ID

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