Healthcare Provider Details

I. General information

NPI: 1053226654
Provider Name (Legal Business Name): ERIN M KAMMER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 E APPLE ST STE 1480
DAYTON OH
45409-2939
US

IV. Provider business mailing address

30 E APPLE ST STE 1480
DAYTON OH
45409-2939
US

V. Phone/Fax

Practice location:
  • Phone: 937-208-3220
  • Fax: 937-208-3633
Mailing address:
  • Phone: 937-208-3220
  • Fax: 937-208-3633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN.CNP.0042990
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: