Individual provider · Type 1 NPI

Kenneth Dominique Miller, PA-C

Surgical Physician Assistant · Richland, WA

NPI number 1275868572 Active

Practice location

875 Swift Blvd
Richland, WA 99352-3592

Call (509) 946-1654 Map

Fax (509) 943-5652

Mailing address

560 Gage Blvd, Suite 203
Richland, WA 99352

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA60115570 (WA)
Physician Assistant 363A00000XPA60115570 (WA)
Surgical Physician Assistant Primary 363AS0400XPA60115570 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1275868572

Kenneth Dominique Miller, PA-C's National Provider Identifier is 1275868572, issued on Oct 5, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Richland, WA. The record was last updated on Jan 23, 2017.