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Individual

DR. KENNETH J MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1100 VIRGINIA AVE, COLUMBIA, MO 65212-0001
(573) 882-2663
(573) 882-1760
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
2017012832
MO
171100000X
Acupuncturist
2017012832
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2007015101
MO - LICENSE
MO
Enumeration date
06/26/2007
Last updated
10/08/2025
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