KENNETH R MILLER JR. (NPI# 1124583760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124583760 |
| Entity Type | Individual |
| Full Name | KENNETH R MILLER JR. |
| Credential | RN |
| Practice Address |
3430 Dunran Rd Baltimore MD 21222-5946 |
| Practice Telephone | 4435865150 |
| Mailing Telephone | 4435865150 |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
R199643 | MD | Nursing Service Providers |
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
R199643 | MD | Nursing Service Providers |
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
R199643 | MD | Nursing Service Providers |
| N | 163WH0500X |
Registered Nurse Specialization: Hemodialysis |
R199643 | MD | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841649589 | Kenneth John Miller | Anesthesiology | 4098 Scarlet Iris Pl, Winter Park, FL 32792-9412 | 2016-06-03 |
| 1679978415 | Kenneth Dean Miller | Pharmacy Technician | 1320 N 184th Ct, Shoreline, WA 98133-4538 | 2014-10-22 |
| 1497052526 | Kenneth Eric Miller | Psychologist | 22 Whitney Ave # 2, Cambridge, MA 02139-4612 | 2011-02-25 |
| 1255589750 | Kenneth Bryce Miller | Dentist | 2809 W 95th, Evergreen Park, IL 60805 | 2008-09-09 |
| 1144417494 | Kenneth Thompson Miller Jr. | Dentist | 113 Foy Dr, Rocky Mount, NC 27804-2418 | 2007-10-01 |
| 1639375629 | Kenneth J Miller | Chiropractor | 2445 East Washington Ave, Suite B, Vinton, VA 24179 | 2007-06-26 |
| 1669592614 | Kenneth T. Miller | Emergency Medicine | 1 Fire Authority Rd, Irvine, CA 92602-0125 | 2007-03-30 |
| 1376606434 | Kenneth W Miller | Dentist | 245 Smithville Church Rd, Warner Robins, GA 31088-7803 | 2006-12-19 |
| 1447313820 | Kenneth R Miller | Chiropractor | 6729 West Stanley Avenue, Berwyn, IL 60402-3129 | 2006-12-18 |
| 1255419305 | Kenneth Gordon Miller | Dentist | 233 Northern Blvd, Ste 5, Clarks Summit, PA 18411-8720 | 2006-11-02 |
| Street Address |
3430 DUNRAN RD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21222-5946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634534 | Progressive Multi Medical Services Inc | Nurse Practitioner | 7704 Trappe Road, Dundalk, MD 21222 | 2020-03-14 |
| 1881240802 | Waleed Mazhar Khan | Pharmacist | 29-31 Sipping Pl, Baltimore, MD 21222 | 2019-08-15 |
| 1043773724 | Agnes Kavari | Occupational Therapy Assistant | 7232 German Hill Road, Heritage Center, Baltimore, MD 21222 | 2019-04-10 |
| 1609335702 | Addiction Treatment of Maryland | Substance Abuse Rehabilitation Facility | 19 Center Place, 1st Floor, Baltimore, MD 21222 | 2019-03-18 |
| 1558833368 | Millennium Residential Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1709 Holaview Road, Dundalk, MD 21222 | 2018-12-19 |
| 1639691447 | Tenicia S Washington | Nurse Practitioner | 1709 Holaview Rd, Dundalk, MD 21222 | 2017-07-13 |
| 1548708126 | Kevin Anthony Mason | Counselor | 7827 Wise Avenue, Dundalk Counseling Center, Baltimore, MD 21222 | 2017-02-03 |
| 1023569266 | Rachel Renee Barbarino | Physician Assistant | 1934 Ewald Ave, Baltimore, MD 21222 | 2016-10-24 |
| 1023562576 | Bd Health Services, Inc | Counselor | 3955 North Point Rd., Dundalk, MD 21222 | 2016-08-12 |
| 1205287596 | Dundalk Health Services, Inc. | Counselor | 6706 Holabird Ave, Baltimore, MD 21222 | 2016-06-28 |
| Find all providers in zip 21222 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366800211 | Shakeisha Jarvis-drake | Registered Nurse | 3700 Columbus Dr, Baltimore, MD 21215-6122 | 2016-02-07 |
| 1104130616 | Craig Howard Fabian | Registered Nurse | 2711 Ailsa Ave, Baltimore, MD 21214-2520 | 2010-07-27 |
| 1295787075 | Lucille Helen Hamet-attia | Registered Nurse | 601 North Caroline Street, Baltimore, MD 21287-0712 | 2006-05-17 |
| 1174080014 | Danielle Dacosta | Registered Nurse | 330 N Howard St, Baltimore, MD 21201-3610 | 2019-02-27 |
| 1245701333 | Victoria Fatmata Koroma | Registered Nurse | 7920 Scotts Level Rd, Baltimore, MD 21208-2629 | 2018-12-16 |
| 1053797464 | Jessica Ortis | Registered Nurse | 821 N Eutaw St Ste 206, Baltimore, MD 21201-6302 | 2015-08-07 |
| 1083753495 | Nancy S Goldstein | Registered Nurse | 1000 E Eager St, 3rd Floor, Baltimore, MD 21202-5533 | 2007-02-05 |
| 1215999107 | Bernard Mbeboh | Registered Nurse | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417579665 | Anthonia Chinyere Offiah | Registered Nurse | 11005 Atwell Ave, Bowie, MD 20720-3502 | 2020-05-11 |
| 1730709932 | Chioma Lynda Onwuakpa | Registered Nurse | 9910 Nicol Ct W, Bowie, MD 20721-2960 | 2020-04-17 |
| 1063975761 | Vida Williams | Registered Nurse | 7504 Belmar Ct, Beltsville, MD 20705-1394 | 2019-04-09 |
| 1659841062 | Francisca Catherine Nwaigwe | Registered Nurse | 1821 Morning Brook Dr, Forest Hill, MD 21050-2629 | 2018-11-28 |
| 1538643101 | Michele Monique Schmitt | Registered Nurse | 2533 Augustine Herman Hwy Ste A, Chesapeake City, MD 21915-1414 | 2018-09-19 |
| 1487192035 | Paula Maria Christie | Registered Nurse | 2661 Riva Rd Ste 610, Annapolis, MD 21401-7343 | 2017-02-03 |
| 1124576095 | Blessing Jim Matthews | Registered Nurse | 8855 Annapolis Rd, Suite 305, Lanham, MD 20706-2924 | 2016-09-20 |
| 1033589312 | Jillian Riley | Registered Nurse | 8369 Tamar Drive, Apt 715, Columbia, MD 21045-5897 | 2015-09-30 |
| 1588094338 | Rafiat Adetola Akindele | Registered Nurse | 7806 Hanover Pkwy Apt 303, Greenbelt, MD 20770-2617 | 2013-11-14 |
| 1477895563 | Majeedah Ahmad | Registered Nurse | 9645 Homestead Ct Apt H, Laurel, MD 20723-1549 | 2013-03-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.