Kenneth J Miller Md A Medical Corp

NPI 1033131933 - Ophthalmology - 207W00000X

NPI Details
NPI 1033131933
Enumeration Date 07/23/2006
Last Updated 08/10/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KENNETH JOEL KENNETH
Position PRESIDENT
Phone (310) 547-9991
Fax (310) 547-2389
Practice Location
1360 W 6TH ST
SUITE 215
SAN PEDRO CA, 90732-3514, US
Phone (310) 547-9991
Fax (310) 547-2389
Business Location
1360 W 6TH ST
SUITE 215
SAN PEDRO CA, 90732-3514, US
Phone (310) 547-9991
Fax (310) 547-2389
Toxanomy
Taxonomy Code 207W00000X
License State
License Number
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According to our database, Kenneth J Miller Md A Medical Corp NPI is 1033131933, taxonomy code is 207W00000X Kenneth J Miller Md A Medical Corp physically located at 1360 W 6th St, San Pedro CA, 90732-3514. NPI Number 1033115704 has the healthcare provider type.

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1033131933 NPI number is provided on an as is basis without warranty of any kind. 1033131933 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth J Miller Md A Medical Corp are for informational purposes only.