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Organization

KENNETH MILLER MD LLC

Active
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Organization

KENNETH MILLER MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TARA L LALLIER CHONC (CREDENTIALING/CODING MANAGER)
(321) 362-5128
Entity
Organization

Contact information

Practice address
2500 W ROGERS AVE, BALTIMORE, MD 21215-4131
(443) 240-1682
(855) 588-5951
Mailing address
2500 W ROGERS AVE, BALTIMORE, MD 21215-4131
(443) 240-1682
(855) 588-5951

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NULL
207RH0003X
Hematology & Oncology Physician
Primary
—
—

Other

Enumeration date
08/30/2010
Last updated
09/15/2022
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