Individual
KENNETH GLEN MILLER-KALLENBACH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
182 WEST COURT ST, RUTHERFORDTON, NC 28139
(828) 287-7806
(828) 287-0004
Mailing address
PO BOX 878, RUTHERFORDTON, NC 28139
(828) 287-7806
(828) 287-0004
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9801395
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11634
BCBS
—
Enumeration date
05/09/2006
Last updated
07/08/2007
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