Individual
KENNETH WAYNE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4800 E JOHNSON AVE, JONESBORO, AR 72401-8413
(870) 936-8000
(870) 936-0141
Mailing address
PO BOX 1960, JONESBORO, AR 72403-1960
(870) 936-8000
(870) 936-1041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2417
AR
Other
Enumeration date
10/06/2014
Last updated
02/17/2016
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