KENNETH L MILLSAP

MEDFORD, OR
NPI1750305066
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  200450110NPFNP-PP)
Enumeration Date2006-07-27
Last Update Date2015-03-19
Business Address
-- KENNETH L MILLSAP NP
520 MEDICAL CENTER DR SUITE 201
MEDFORD, OR 97504-4334
Phone number: 541-789-5710
Mailing Address
-- KENNETH L MILLSAP NP
2620 E BARNETT RD SUITE H
MEDFORD, OR 97504-8344
Phone number: 541-789-5250