Miller, Kenneth R

Miller, Kenneth R is an individual health care provider with primary practice located at 1401 E Van Buren Ave , Mcalester OK 74501-4245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Miller, Kenneth R can be contacted via phone (918) 426-0240.

Contact Information

Primary practice address
1401 E Van Buren Ave Mcalester OK 74501-4245
Phone: (918) 426-0240
Fax: (918) 423-4051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 8816 Oklahoma

Profile Details

NPI number 1447213624
LBN Legal business name Miller, Kenneth R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Aug 15th, 2012 - about 12 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 1447213624 NPPES
Oklahoma Other 1324230001 PALMETTO DME
Oklahoma Other 730710406020 PALMETTO DME
Oklahoma Other D35047 PALMETTO DME
Oklahoma MEDICAID 100104840A PALMETTO DME
Oklahoma Other 731310891006 PALMETTO DME
Oklahoma Other 7313108931028 PALMETTO DME
Oklahoma Other 0166707 PALMETTO DME
Oklahoma Other 74502A010 PALMETTO DME

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