Kenneth Miller Md Llc

LBN: Kenneth Miller Md Llc
Kenneth Miller Md Llc is an health care organization with primary practice located at 2500 W Rogers Ave , Baltimore MD 21215-4131. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Kenneth Miller Md Llc can be contacted via phone (443) 240-1682, or through Lallier, Tara L via phone (321) 362-5128.

Contact Information

Primary practice address
2500 W Rogers Ave Baltimore MD 21215-4131
Phone: (443) 240-1682
Fax: (855) 588-5951
Website:
Map and Directions
Authorized official contact:
Name: Lallier, Tara L CHONC
Phone: (321) 362-5128

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X

Profile Details

NPI number 1114233012
LBN Legal business name Kenneth Miller Md Llc
DBA Doing business as
Authorized official Lallier, Tara L CHONC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2010
Last updated Sep 15th, 2022 - about 2 years ago

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 1114233012 NPPES
Maryland MEDICAID 220065100
Maryland MEDICAID 445791900

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