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Individual

DR. KENNETH A MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
27 HOSPITAL AVE, SUITE 205, DANBURY, CT 06810-5954
(203) 794-0599
(203) 794-9568
Mailing address
27 HOSPITAL AVE, SUITE 205, DANBURY, CT 06810-5954
(203) 794-0599
(203) 794-9568

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
022005
CT
207RR0500X
Rheumatology Physician
Primary
022005
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001220052
CT
Enumeration date
01/11/2006
Last updated
10/02/2013
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