KENNETH L MILLER (NPI# 1992715122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992715122 |
| Entity Type | Individual |
| Full Name | KENNETH L MILLER |
| Credential | MD |
| Practice Address |
1101 W Liberty Parkland Health Center Dept of Radiology Farmington MO 63640 |
| Mailing Address |
Po Box 629 Smith Imaging Inc Farmington MO 63640 |
| Practice Telephone | 5737608075 |
| Practice Fax Number | 5737608358 |
| Mailing Telephone | 5737608075 |
| Mailing Fax Number | 3148212180 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
109972 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTHCARE | 8707 | 01 | |
| MO BLUE | 945K1 | 01 | |
| NATIONAL REGISTRY NUMBER | G23727 | 01 | |
| GHP | 14989V14989 | 01 | |
| IL BLUE | 945K1 | 01 | |
| HL | 290568 | 01 | |
| AMER MEDSE | 290568 | 01 | |
| LICENSE NUMBER | 109972 | 01 | |
| MO | BCBS MO | 945K1 | 01 |
| UHC | STL1600408 | 01 | |
| CMR | 290568 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124583760 | Kenneth R Miller Jr. | Registered Nurse | 3430 Dunran Rd, Baltimore, MD 21222-5946 | 2019-02-07 |
| 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 |
| Street Address |
1101 W LIBERTY PARKLAND HEALTH CENTER DEPT OF RADIOLOGY |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316958531 | Kenneth D Smith | Radiology | 1101 W Liberty, Parkland Health Center Dept of Radiology, Farmington, MO 63640 | 2006-08-11 |
| 1770593907 | Smith Imaging Inc | Radiology | 1101 W Liberty, Parkland Health Center, Farmington, MO 63640 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275987802 | Farmington Imaging Center, LLC | Radiology | 399 Farmington Ave Lowr 1, Farmington, CT 06032-1937 | 2016-04-20 |
| 1538521679 | Focus Point Diagnostics LLC | Radiology | 23337 Orchard Lake Rd, Farmington, MI 48336-3238 | 2016-03-28 |
| 1619103306 | Christopher Michael Garcia | Radiology | 23 Hidden Oak Dr, Farmington, CT 06032-2735 | 2009-06-08 |
| 1497761795 | Medical Diagnostic Services Ltd | Radiology | 657a W Maple, Farmington, NM 87401 | 2006-07-31 |
| 1336182393 | Lynne F Bliss | Radiology | 801 W. Maple, Farmington, NM 87401 | 2006-06-14 |
| 1073507596 | Joseph B Alley | Radiology | 111 Farmington Health Commons, Farmington, ME 04938-6144 | 2005-09-12 |
| 1841284783 | John R Webster | Radiology | 801 W Maple Street, Farmington, NM 87401 | 2005-09-07 |
| 1144222779 | David Ray Dedrickson | Radiology | 1433 N 1075 W, Ste 104, Farmington, UT 84025-2746 | 2005-08-12 |
| 1629075684 | Steven Brent Lee | Radiology | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2005-07-06 |
| 1902430481 | Nrg-parkland LLC | Radiology | 1101 W Liberty St, Farmington, MO 63640-1921 | 2020-02-24 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
Please comment or provide details below to improve the information on KENNETH L MILLER.
| 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.