Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth R Miller

Individual provider Community Health Worker · NPI 1417811662

Kenneth R Miller is a Community Health Worker in San Bernardino, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

165 W Hospitality Ln Ste 11 Ste 11
San Bernardino, CA 92408-3322
Phone: (909) 300-2622
Fax: (909) 619-3914
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (CA)

Record details

NPI number1417811662
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 11, 2025
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

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