Individual
KENNETH JOSEPH MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
32 BAY FRONT PL, HAMPTON, VA 23664-1791
(614) 832-8392
(888) 383-3873
Mailing address
32 BAY FRONT PL, HAMPTON, VA 23664-1791
(614) 832-8392
(888) 383-3873
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101253992
VA
2084P0800X
Psychiatry Physician
Primary
35.049517
OH
2084P0800X
Psychiatry Physician
C41166
CA
2084P0800X
Psychiatry Physician
MD33125
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2205214
—
OH
Enumeration date
06/28/2006
Last updated
12/28/2015
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