Miller, Kenneth Andrew
Miller, Kenneth Andrew is an individual health care provider with primary practice located at 611 Sherman Ave E , Fort Atkinson WI 53538-1960. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Miller, Kenneth Andrew can be contacted via phone (920) 568-6090.Contact Information
Primary practice address
611 Sherman Ave E
Fort Atkinson WI 53538-1960
Phone: (920) 568-6090
Fax: (920) 568-6083
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 11253504-1205 | Utah |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | M-13495 | Idaho |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 29654 | Wisconsin |
Profile Details
| NPI number | 1962543496 |
|---|---|
| LBN Legal business name | Miller, Kenneth Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Mar 30th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962543496 | NPPES |
| Wisconsin | MEDICAID | 1962543496 |
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