person
Kenneth B Miller, MD
Diagnostic Radiology Physician in Worcester, Massachusetts
NPI 1538123971

Kenneth B Miller is a Diagnostic Radiology Physician based in Worcester, MA and is specialized in Diagnostic Radiology. Kenneth B Miller practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Kenneth B Miller is 1538123971 and holds a License No. 42854 (Massachusetts).

The current practice location address for Kenneth B Miller is 135 Gold Star Blvd, Worcester, MA and can be reached out via phone at 508-853-2716 and via fax at 508-856-9025.

Location: 135 Gold Star Blvd, Worcester, MA, 01605
person
Provider Profile Details
NPI Number
1538123971
Provider Name
Kenneth B Miller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
135 Gold Star Blvd, Worcester, MA, 01605
Phone Number
508-853-2716
Fax Number
508-856-9025
Provider Enumeration Date
04/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
042472266 01 HEALTHCARE VALUE MANAGEME
784216 01 MVP HEALTH CARE
0143138 01 WELFARE
28037 01 HEALTHY START
9900864 01 FALLON COMMUNITY HEALTH P
C05296 01 BLUE SHIELD HMO BLUE
0143138 05 MA
1760952 01 CIGNA HEALTH PLAN
28037 01 CHILDRENS MEDICAL SECURIT
C05296 01 BLUE CARE ELECT
C05296 01 BLUE SHIELD INDEMNITY
042472266 01 THREE RIVERS
1150178 01 FIRST HEALTH
AA4453 01 HARVARD PILGRIM HEALTHCAR
042472266 01 PRIVATE HEALTHCARE SYSTEM
5910031 01 AETNA US HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
135 Gold Star Blvd
City
State
Zip
01606
Phone Number
508-853-2716
Fax Number
508-856-9025
person
Provider Business Mailing Address Details
Address
135 Gold Star Blvd
City
State
Zip
01606
Phone Number
508-853-2716
Fax Number
508-856-9025
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
License No.
42854 (Massachusetts)
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
42854 (Massachusetts)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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