Individual provider · Type 1 NPI

Kenneth L. Millsap, NP

Family Nurse Practitioner · Medford, OR

NPI number 1750305066 Active

Practice location

520 Medical Center Dr, Suite 201
Medford, OR 97504-4334

Fax (541) 789-5711

Mailing address

2620 E Barnett Rd, Suite H
Medford, OR 97504-8344

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X200450110NPFNP-PP (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1750305066

Kenneth L. Millsap, NP's National Provider Identifier is 1750305066, issued on Jul 27, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Medford, OR. The record was last updated on Mar 19, 2015.