Miller, Kenneth B

Miller, Kenneth B is an individual health care provider with primary practice located at 135 Gold Star Blvd , Worcester MA 01606. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Miller, Kenneth B can be contacted via phone (508) 853-2716.

Contact Information

Primary practice address
135 Gold Star Blvd Worcester MA 01606
Phone: (508) 853-2716
Fax: (508) 856-9025
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 42854 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 42854 Massachusetts

Profile Details

NPI number 1538123971
LBN Legal business name Miller, Kenneth B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Feb 18th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538123971 NPPES
Other 042472266 HEALTHCARE VALUE MANAGEME
Other 784216 HEALTHCARE VALUE MANAGEME
Other 0143138 HEALTHCARE VALUE MANAGEME
Other 28037 HEALTHCARE VALUE MANAGEME
Other 9900864 HEALTHCARE VALUE MANAGEME
Other C05296 HEALTHCARE VALUE MANAGEME
MEDICAID 0143138 HEALTHCARE VALUE MANAGEME
Other 1760952 HEALTHCARE VALUE MANAGEME
Other 28037 HEALTHCARE VALUE MANAGEME
Other C05296 HEALTHCARE VALUE MANAGEME
Other C05296 HEALTHCARE VALUE MANAGEME
Other 042472266 HEALTHCARE VALUE MANAGEME
Other 1150178 HEALTHCARE VALUE MANAGEME
Other AA4453 HEALTHCARE VALUE MANAGEME
Other 042472266 HEALTHCARE VALUE MANAGEME
Other 5910031 HEALTHCARE VALUE MANAGEME

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