person
Kenneth L Miller, MD
Diagnostic Radiology Physician in Farmington, Missouri
NPI 1992715122

Kenneth L Miller is a Diagnostic Radiology Physician based in Farmington, MO and is specialized in Diagnostic Radiology. Kenneth L Miller practices in Farmington, MO and has the professional credentials of MD. The NPI Number for Kenneth L Miller is 1992715122 and holds a License No. 109972 (Missouri).

The current practice location address for Kenneth L Miller is 1101 W Liberty, Farmington, MO and can be reached out via phone at 573-760-8075 and via fax at 573-760-8358.

Location: 1101 W Liberty, Farmington, MO, 63640
person
Provider Profile Details
NPI Number
1992715122
Provider Name
Kenneth L Miller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1101 W Liberty, Farmington, MO, 63640
Phone Number
573-760-8075
Fax Number
573-760-8358
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
109972 01 LICENSE NUMBER
8707 01 HEALTHCARE
945K1 01 MO BLUE
14989V14989 01 GHP
290568 01 CMR
290568 01 HL
G23727 01 NATIONAL REGISTRY NUMBER
290568 01 AMER MEDSE
945K1 01 MO BCBS MO
945K1 01 IL BLUE
STL1600408 01 UHC
institution
Provider Business Practice Location Address Details
Address
1101 W Liberty
City
State
Zip
63640
Phone Number
573-760-8075
Fax Number
573-760-8358
person
Provider Business Mailing Address Details
Address
1101 W Liberty
City
State
Zip
63640
Phone Number
573-760-8075
Fax Number
573-760-8358
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
109972 (Missouri)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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