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Individual

KENNETH R MILLER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
3430 DUNRAN RD, BALTIMORE, MD 21222-5946
(443) 586-5150
Mailing address
3430 DUNRAN RD, BALTIMORE, MD 21222-5946
(443) 586-5150

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R199643
MD
163WG0000X
General Practice Registered Nurse
Primary
R199643
MD
163WH0200X
Home Health Registered Nurse
R199643
MD
163WH0500X
Hemodialysis Registered Nurse
R199643
MD

Other

Enumeration date
02/07/2019
Last updated
02/07/2019
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