Individual
DR. KEN I MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1658 OCEAN DR, MCKINLEYVILLE, CA 95519-3827
(707) 839-2210
(707) 839-2210
Mailing address
PO BOX 2099, MCKINLEYVILLE, CA 95519-2099
(707) 839-2210
(707) 839-2210
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G31499
CA
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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