Individual provider Active NPI

Kenneth Glen Miller-Kallenbach, MD

  • Psychiatry Physician
  • Rutherfordton, NC
National Provider Identifier
1265481865
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
9801395 Issued in NC
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
11634OtherBCBS

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

LicenseStateTypeSpecialty
9801395NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

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.

Verify at the official NPI Registry.