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Kenneth Miller, PAC
NPI 1891740015 · on the registry since 2006
Practice
- Address
- 21297 Olean Blvd Ste A
Port Charlotte, FL 33952 - Phone
- (855) 979-5700
- Organisation at this address
- Four Magnolias Llc.
St Vincent Depaul Volunteer Community PharmacyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 39
Additional practice sites
- 2002 Del Prado Blvd S, Cape Coral, FL
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida