Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH JEROME MUELLER III, D.O
DeactivatedNeuromusculoskeletal Medicine & OMM · HILLSDALE, MI
This NPI has been deactivated.
The record was deactivated on August 12, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1780071811
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 15, 2015 (5.3260273972603 yrs)
- Last Updated
- Oct 13, 2021
- Deactivated
- Aug 12, 2020
- Licenses
-
5101024611 (MI)5101024611 (MI)
Practice Information
- Address
-
3240 W CARLETON RD STE BHILLSDALE, MI, 492429458Browse MI providers · Browse ZIP 49242
- Phone
- 5176105469
- Fax
- 5175860228
- Primary Specialty
-
Neuromusculoskeletal Medicine & OMM
204C00000X
- Additional Specialty
- Neuromusculoskeletal Medicine & OMM
- Additional Specialty
- Student (Health Education/Training)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.