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Individual
DR. KENNON ANDREW MILLER
Active
Individual
DR. KENNON ANDREW MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35.096175
OH
390200000X
Student in an Organized Health Care Education/Training Program
57-013197
OH
Other
Enumeration date
08/28/2007
Last updated
01/23/2015
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