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Mr. Kenneth Dominique Miller, PA-C
Surgical Physician Assistant in Richland, Washington
NPI 1275868572

Kenneth Dominique Miller is a Surgical Physician Assistant based in Richland, WA and is specialized in Surgical. Kenneth Dominique Miller practices in Richland, WA and has the professional credentials of PA-C. The NPI Number for Kenneth Dominique Miller is 1275868572 and holds a License No. PA60115570 (Washington).

The current practice location address for Kenneth Dominique Miller is 875 Swift Blvd, Richland, WA and can be reached out via phone at 509-946-1654 and via fax at 509-943-5652.

Location: 875 Swift Blvd, Richland, WA, 99352
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275868572
Provider Name
Kenneth Dominique Miller
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
875 Swift Blvd, Richland, WA, 99352
Phone Number
509-946-1654
Fax Number
509-943-5652
Provider Enumeration Date
10/05/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2004006 05 WA
0255435 01 WA LIWA VCR
0016MI 01 WA BSWA KADLEC
500619959 05 OR
808497500 05 ID
P00781687 01 WA RRGA
institution
Provider Business Practice Location Address Details
Address
875 Swift Blvd
City
Richland
State
Washington
Zip
99352-3592
Phone Number
509-946-1654
Fax Number
509-943-5652
person
Provider Business Mailing Address Details
Address
875 Swift Blvd
City
Richland
State
Washington
Zip
99352-3592
Phone Number
509-946-1654
Fax Number
509-943-5652
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA60115570 (Washington)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA60115570 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA60115570 (Washington)
Definition
Definition to come...
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