Miller, Kenneth D

Miller, Kenneth D is an sole proprietor health care provider with primary practice located at 16 Old Brookside Road , Randolph NJ 07869. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Miller, Kenneth D can be contacted via phone (973) 895-4000.

Contact Information

Primary practice address
16 Old Brookside Road Randolph NJ 07869
Phone: (973) 895-4000
Fax: (973) 895-3310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA34422 New Jersey

Profile Details

NPI number 1558441238
LBN Legal business name Miller, Kenneth D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Dec 30th, 2021 - about 4 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 1558441238 NPPES
New Jersey Other IP099 OXFORD
New Jersey Other 0736771010 OXFORD
New Jersey MEDICAID 0920401 OXFORD

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