Individual
KENNETH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1900 23RD ST, CUYAHOGA FALLS, OH 44223-1404
(330) 971-7000
(330) 296-6535
Mailing address
699 ARDELLA RD, CUYAHOGA FALLS, OH 44223-2721
(330) 971-7000
(330) 296-6535
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN136523
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0755428
—
OH
Enumeration date
11/06/2006
Last updated
07/08/2007
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