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

Individual provider Medical Physician Assistant · NPI 1275868572

Mr. Kenneth Dominique Miller, PA-C is a Physician Assistant in Richland, Washington. Qualified in 2009, 17 years ago. Practices with Kadlec Regional Medical Center, a 396-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
17
Licensed in
WA
In the registry since
2009
Specialties on file
3
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

875 Swift Blvd
Richland, WA 99352-3592
Phone: (509) 946-1654
Fax: (509) 943-5652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA60115570 (WA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA60115570 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA60115570 (WA)

Record details

NPI number1275868572
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 5, 2009
Last updated in NPPESJanuary 23, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Kadlec Regional Medical Center — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Richland