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NPI Code Detail

MEDICARE: KIM K VEMMER OTR

MEDICARE: KIM K VEMMER OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist001091MO

General Provider Information

NPI Number : 1285953562
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIM K VEMMER OTR
Provider Business Mailing Address
First Line : 304 SE WILLIAMSBURG CIR
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64063-3621
Country : US
Telephone Number : 816-830-4408
Fax Number :
Provider Business Practice Location Address
First Line : 7501 PROSPECT AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64132-2103
Country : US
Telephone Number : 816-237-2091
Fax Number : 816-237-2065
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2010
Last Update Date : 05/06/2020

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