Individual
KENNETH JOHN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4098 SCARLET IRIS PL, WINTER PARK, FL 32792-9412
(407) 765-3155
Mailing address
4098 SCARLET IRIS PL, WINTER PARK, FL 32792-9412
(407) 765-3155
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
039057
FL
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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