Kenneth Miller
Nephrologist Pediatric Nephrologist
1480 Renaissance Dr Suite 211
Park Ridge
, Illinois 60068-1332
Kenneth Miller
Nephrologist Pediatric Nephrologist
1480 Renaissance Dr Suite 211
Park Ridge
, Illinois 60068-1332
(813) 290-9691
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About
Features
Specialties
- Nephrologist
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Kenneth Miller
- 1480 Renaissance Dr Suite 211
- Park Ridge, IL
- Zip : 60068-1332
- Fax : (813) 290-9691
- Phone : (813) 890-8004
Second Address
- Kenneth Miller
- 1480 Renaissance Dr Suite 211
- Park Ridge, IL
- Zip : 60068-1332
- Fax : (813) 290-9691
- Phone : (813) 890-8004
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FAQs
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What is Kenneth Miller ’s gender?
Is Kenneth Miller a sole practitioner?
Is Kenneth Miller accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | 036051280 | IL |
| N | 2080P0210X | Pediatric Nephrologist | 036051280 | IL |
National Provider Identifier
| NPI | 1598731317 |
|---|---|
| Provider Name | Kenneth Miller |
| First Address | Park Ridge, IL 60068-1332 |
| Second Address | Park Ridge, IL 60068-1332 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/02/2006 |
| Last Update Date | 24/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D14558 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.