Active NPI
Kenneth Glen Miller-Kallenbach, MD
- Psychiatry Physician
- Rutherfordton, NC
National Provider Identifier
1265481865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 9801395
- Practice address
- 182 West Court St
Rutherfordton, NC 28139 - Phone
- (828) 287-7806
- Fax
- (828) 287-0004
- NPI assigned
- May 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 9801395 | NC | Primary |
Addresses
Primary practice location
182 West Court St
Rutherfordton, NC 28139
Mailing address
PO Box 878
Rutherfordton, NC 28139
Phone (828) 287-7806
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11634 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9801395 | NC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodridge Psychological Assoc PA | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Foothills Psychological Associates
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rutherfordton, NC
- NPI 1013951268
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1265481865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 878",
"city": "RUTHERFORDTON",
"state": "NC",
"postal_code": "28139",
"telephone_number": "828-287-7806",
"fax_number": "828-287-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "182 WEST COURT ST",
"city": "RUTHERFORDTON",
"state": "NC",
"postal_code": "28139",
"telephone_number": "828-287-7806",
"fax_number": "828-287-0004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER-KALLENBACH",
"first_name": "KENNETH",
"middle_name": "GLEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "9801395",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "11634",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rutherfordton, NC
- Linda Huntley McMurray, RPH
- Medicine Box Pharmacy of Rutherfordton, Inc (Medicine Box of Rutherfordton)
- Medicine Box Pharmacy of Rutherfordton, Inc. (Medicine Box of Rutherfordton)
- Jay R Mee, LMBT
- Milicare Psychiatry, PLLC
- Eva Miller
- John Hedrick Miller, DDS
- Michael George Miller, PA
- John David Miracle, MS NCC LPC
- Mission Hospital Inc (Mission Children's Specialists)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.