Kenneth R Miller Jr., RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

R199643 Issued in MD

Practice address

3430 Dunran Rd
Baltimore, MD 21222-5946

Phone

(443) 586-5150

NPI assigned

Feb 7, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1124583760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 DUNRAN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212225946",
            "telephone_number": "443-586-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 DUNRAN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212225946",
            "telephone_number": "443-586-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KENNETH",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Emergency",
            "state": "MD",
            "license": "R199643",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MD",
            "license": "R199643",
            "primary": false
        },
        {
            "code": "163WH0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "MD",
            "license": "R199643",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MD",
            "license": "R199643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Miller
• Kayla Miller
• Kayla Michelle Miller, PHARMD
• Kenneth B Miller Jr., P.T.
• Kenneth David Miller, MD
• Kevin E Miller, CRNA
• Lance Adam Miller, D.C.
• Lassiter Miller
• Lauren Blythe Miller, MD
• Leslie Rachel Miller, M.D.

• General Practice Registered Nurse in Baltimore, MD
• Providers in Baltimore, MD by specialty
• General Practice Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.