Miller, Kennith
Miller, Kennith is an individual health care provider with primary practice located at 156 W Jefferson St , Spring Green WI 53588-8005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miller, Kennith can be contacted via phone (608) 588-2600.Contact Information
Primary practice address
156 W Jefferson St
Spring Green WI 53588-8005
Phone: (608) 588-2600
Fax: (608) 588-2644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 010090 | Missouri |
Profile Details
| NPI number | 1992778484 |
|---|---|
| LBN Legal business name | Miller, Kennith |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Oct 2nd, 2013 - about 13 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 | 1992778484 | NPPES |
| Missouri | MEDICAID | 245694807 |
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