person
Kenneth L Millsap, NP
Family Nurse Practitioner in Medford, Oregon
NPI 1750305066

Kenneth L Millsap is a Family Nurse Practitioner based in Medford, OR and is specialized in Family. Kenneth L Millsap practices in Medford, OR and has the professional credentials of NP. The NPI Number for Kenneth L Millsap is 1750305066 and holds a License No. 200450110NPFNP-PP (Oregon).

The current practice location address for Kenneth L Millsap is 520 Medical Center Dr, Medford, OR and can be reached out via phone at 541-789-5710 and via fax at 541-789-5711. You can also correspond with Kenneth L Millsap through the mailing address at 2620 E BARNETT RD, MEDFORD, OR - 97504-8344 (mailing address contact number: 541-789-5250).

Location: 520 Medical Center Dr, Medford, OR, 97504-8344
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Provider Profile Details
NPI Number
1750305066
Provider Name
Kenneth L Millsap
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
520 Medical Center Dr, Medford, OR, 97504-8344
Phone Number
541-789-5710
Fax Number
541-789-5711
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
292119 05 OR
institution
Provider Business Practice Location Address Details
Address
520 Medical Center Dr
City
State
Zip
97504-4334
Phone Number
541-789-5710
Fax Number
541-789-5711
person
Provider Business Mailing Address Details
Address
520 Medical Center Dr
City
State
Zip
97504-4334
Phone Number
541-789-5710
Fax Number
541-789-5711
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
200450110NPFNP-PP (Oregon)
Definition
Definition to come...
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