Kenneth B Miller, MD
Radiology, Diagnostic Radiology in Worcester, Massachusetts
1538123971- Practice location
- 135 Gold Star Blvd, Worcester, MA 01606
- Phone
- 508-853-2716
- Fax
- 508-856-9025
- Last updated
- February 18, 2009
Kenneth B Miller is a Radiology, Diagnostic Radiology based in Worcester, MA. 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 (MA). The current practice location address for Kenneth B Miller is 135 Gold Star Blvd, Worcester, MA 01606 and can be reached out via phone at 508-853-2716 and via fax at 508-856-9025.
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 01606
- Phone Number
- 508-853-2716
- Fax Number
- 508-856-9025
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 13, 2006
- Last Update Date
- February 18, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 135 Gold Star Blvd
Worcester, MA 01606 - City
- Worcester
- State
- Massachusetts
- Zip
- 01606
- Phone Number
- 508-853-2716
- Fax Number
- 508-856-9025
Provider Business Mailing Address Details
- Address
- 630 Plantation Street
Worcester, MA 01605 - City
- Worcester
- State
- MA
- Zip
- 01605
- Phone Number
- 508-853-2716
- Fax Number
- 508-856-9025
License Information
- License Number (1)
- 42854
- License State (1)
- MA
- License Number (2)
- 42854
- License State (2)
- MA
- Taxonomy (2)
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kenneth B Miller, MD?
The NPI number of Kenneth B Miller, MD is 1538123971. It was assigned on April 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Kenneth B Miller, MD?
Kenneth B Miller, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in MA under license number 42854.
Where does Kenneth B Miller, MD practice?
The practice location is 135 Gold Star Blvd, Worcester, MA 01606. The office can be reached at 508-853-2716 (phone) or 508-856-9025 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538123971 directly on the NPPES registry website.