Miller, Kwon T.

Miller, Kwon T. is an individual health care provider with primary practice located at 715 E Western Reserve Rd , Youngstown OH 44514-3358. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Miller, Kwon T. can be contacted via phone (330) 726-3204.

Contact Information

Primary practice address
715 E Western Reserve Rd Youngstown OH 44514-3358
Phone: (330) 726-3204
Fax: (330) 729-9316
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X OS012150 Pennsylvania
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 34009913 Ohio

Profile Details

NPI number 1316900848
LBN Legal business name Miller, Kwon T.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Oct 2nd, 2015 - about 9 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 1316900848 NPPES
Ohio MEDICAID 3074766
Ohio Other 4303762
Ohio MEDICAID 001947190
Ohio MEDICAID 0019616090004

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