Kennon Miller, MD
Kennon Miller, MD is an Urology in E Providence, Rhode Island. Graduated from Geisel School of Medicine at Dartmouth in 1987, 39 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.
- Years since qualifying
- 39
- Trained at
- Geisel School of Medicine at Dartmouth
- Licensed in
- RI
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
450 Veterans Memorial Pkwy Bldg 14E Providence, RI 02914-5300
Phone: (401) 435-6600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X · Licence MD11459 (RI) |
|---|
Record details
| NPI number | 1689786725 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 31, 2006 |
| Last updated in NPPES | February 20, 2009 |
| Mailing address | 144 Woodbury St, Providence, RI 02906-3546 |
Medicare enrollment
| Medicare specialty | UROLOGY |
|---|---|
| Medical school | GEISEL SCHOOL OF MEDICINE AT DARTMOUTH |
| Graduated | 1987 (39 years in practice) |
| Group practice | Lifespan Physician Group Inc — 1125 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Other providers in E Providence
-
Rashmi S Licht, MD
450 Veterans Memorial Pkwy Bldg 14, E Providence, RI 02914-5300 · (401) 435-6600
-
Eric Bradley Miller, MD
450 Veterans Memorial Pkwy Bldg 14, E Providence, RI 02914-5300 · (401) 435-6600
-
Bernard A Moule, MD
450 Veterans Memorial Pkwy Bldg 14, E Providence, RI 02914-5300 · (401) 435-6600