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DR. KENNETH JEROME MUELLER D.O NPI 1780071811


NPI Information

NPI: 1780071811
Provider Name: DR. KENNETH JEROME MUELLER, D.O
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Individual
Address:
3240 W CARLETON RD STE B
HILLSDALE, MI
ZIP 49242
Phone: (517) 610-5469
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DR. Kenneth Jerome Mueller, D.O is a neuromusculoskeletal medicine sports medicine in Hillsdale, MI. The provider is a Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ DR. Kenneth Jerome Mueller, D.O NPI is 1780071811. 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:

3240 W CARLETON RD STE B
HILLSDALE, MI
ZIP 49242-458
Phone: (517) 610-5469
Fax: (517) 586-0228

The enumeration date for this NPI number is 4/15/2015 and was last updated on 10/13/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RS0010XInternal MedicineSports Medicine5101024611MICHIGANNo
2204C00000XNeuromusculoskeletal Medicine, Sports Medicine5101024611MICHIGANYes
3390200000XStudent in an Organized Health Care Education/Training ProgramNo

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: 4/28/2024

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