Individual ProviderJay Kenneth MillerFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address471 Hepburn St, Community Health Center, Williamsport, PA 17701-6122(570) 567-5400PECOS EnrollmentBased on the most recent information from CMS, provider Jay Kenneth Miller does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1417908310Provider TypeIndividualFull NameMiller, Jay KennethTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date5/15/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address471 Hepburn St, Community Health Center, Williamsport, PA 17701-6122Phone(570) 567-5400Fax(570) 567-5421Mailing LocationMailing Address471 Hepburn St, Community Health Center, Williamsport, PA 17701-6122PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseMD022262EPennsylvania