Miller, Kenneth L

Miller, Kenneth L is an individual health care provider with primary practice located at 1101 W Liberty Parkland Health Center Dept Of Radiology, Farmington MO 63640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Miller, Kenneth L can be contacted via phone (573) 760-8075.

Contact Information

Primary practice address
1101 W Liberty Parkland Health Center Dept Of Radiology Farmington MO 63640
Phone: (573) 760-8075
Fax: (573) 760-8358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 109972 Missouri

Profile Details

NPI number 1992715122
LBN Legal business name Miller, Kenneth L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Nov 26th, 2007 - about 17 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 1992715122 NPPES
Other 109972 LICENSE NUMBER
Other 8707 LICENSE NUMBER
Other 945K1 LICENSE NUMBER
Other 14989V14989 LICENSE NUMBER
Other 290568 LICENSE NUMBER
Other 290568 LICENSE NUMBER
Other G23727 LICENSE NUMBER
Other 290568 LICENSE NUMBER
Other 945K1 LICENSE NUMBER
Other 945K1 LICENSE NUMBER
Other STL1600408 LICENSE NUMBER

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