Individual
DR. KENNON ANDREW MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 OLENTANGY RIVER RD, PATHOLOGY - CORPATH, COLUMBUS, OH 43214-3908
(614) 566-4945
(614) 263-1056
Mailing address
PO BOX 20452, CORPATH-CRED, COLUMBUS, OH 43220-0452
(614) 442-2406
(614) 442-2410
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35.096175
OH
390200000X
Student in an Organized Health Care Education/Training Program
57-013197
OH
Other
Enumeration date
08/28/2007
Last updated
01/23/2015
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