KENNETH DAVID MILLER MD NPI 1366482309

NPI Information

  • NPI: 1366482309
  • Provider Name: KENNETH DAVID MILLER, MD
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • Address: 11165 HERITAGE OAKS
    SHREVEPORT, LA
    ZIP 71106
  • Phone: (318) 797-7353

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NPI Details

Kenneth David Miller, MD is an emergency medicine in Shreveport, LA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Kenneth David Miller, MD NPI is 1366482309. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11165 HERITAGE OAKS
SHREVEPORT, LA
ZIP 71106-383
Phone: (318) 797-7353
Fax: (318) 797-3460

The enumeration date for this NPI number is 6/7/2006 and was last updated on 4/29/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine021112LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11975796MEDICAIDLOUISIANA
2C67267MEDICARE UPIN
35M089C639MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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