Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kenneth R Miller, PA-C

Individual provider Physician Assistant · NPI 1154876712

Kenneth R Miller, PA-C is a Physician Assistant in Dover, Delaware. Qualified in 2016, 10 years ago. Practices with Bayhealth Medical Center, Inc, a 401-clinician group and accepts Medicare assignment. Licensed in Delaware.

Years since qualifying
10
Licensed in
DE
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

640 S State St
Dover, DE 19901-3530
Phone: (302) 744-6166
Fax: (302) 735-3845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C5-0011539 (DE)

Record details

NPI number1154876712
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 23, 2016
Last updated in NPPESOctober 6, 2021
Certification dateOctober 6, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Bayhealth Medical Center, Inc — 401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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