Kenneth A Miller M D Med Corp

NPI 1295847333 - Dermatology - 207N00000X

NPI Details
NPI 1295847333
Enumeration Date 08/31/2006
Last Updated 10/22/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KENNETH A KENNETH
Position PRESIDENT
Phone (408) 356-9111
Fax (408) 365-9113
Practice Location
14527 S BASCOM AVE
LOS GATOS CA, 95032-2003, US
Phone (408) 356-9111
Fax (408) 365-9113
Business Location
14527 S BASCOM AVE
LOS GATOS CA, 95032-2003, US
Phone (408) 356-9111
Fax (408) 365-9113
Toxanomy
Taxonomy Code 207N00000X
License State California
License Number G223300
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According to our database, Kenneth A Miller M D Med Corp NPI is 1295847333, taxonomy code is 207N00000X and license number is G223300, license state is located at California. Kenneth A Miller M D Med Corp physically located at 14527 S Bascom Ave, Los Gatos CA, 95032-2003. NPI Number 1033115704 has the healthcare provider type.

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1295847333 NPI number is provided on an as is basis without warranty of any kind. 1295847333 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth A Miller M D Med Corp are for informational purposes only.