MR. Kenneth Edmund Miller JR.

NPI #1174850648 in Pryor, Oklahoma

Provider Information

NPI Number: 1174850648
Entity Type: Individual
Name: MR. Kenneth Edmund Miller JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Nov 4, 2009
Last Updated: Nov 4, 2009

Practice Location

Address: 109 N FAIRLAND ST
Address 2: SUITE 101
City: Pryor
State: Oklahoma
ZIP Code: 74361-4203
Phone: (918) 825-2884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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