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1376545632

NPI Code Detail

MEDICARE: CATHERINE T. KEMMER M.D.

MEDICARE: CATHERINE T. KEMMER M.D.

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
1	207VG0400X	Gynecology Physician	90-61	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NM010415	OTHER	NM	BCBS
2	18784	OTHER	NM	PRES
3	6303493	OTHER	NM	LOVELACE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376545632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE T. KEMMER M.D.

Provider Business Mailing Address
First Line	:	2100 S TRIVIZ DR
Second Line	:	STE H
City	:	LAS CRUCES
State	:	NM
Zip	:	88001-0601
Country	:	US
Telephone Number	:	505-522-9793
Fax Number	:	505-532-9019

Provider Business Practice Location Address
First Line	:	2100 S TRIVIZ DR
Second Line	:	STE H
City	:	LAS CRUCES
State	:	NM
Zip	:	88001-0601
Country	:	US
Telephone Number	:	505-522-9793
Fax Number	:	505-532-9019

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	04/07/2011

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Directions to “ CATHERINE T. KEMMER M.D.” Practice Location

Language	Start Address	Practice Location

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