Healthcare Provider Details

I. General information

NPI: 1972555902
Provider Name (Legal Business Name): MARK ALLEN KEMERER RRT, RCP
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7251 ACHILL DR
DUBLIN OH
43017-2618
US

IV. Provider business mailing address

7251 ACHILL DR
DUBLIN OH
43017-2618
US

V. Phone/Fax

Practice location:
  • Phone: 614-763-4427
  • Fax: 614-763-4497
Mailing address:
  • Phone: 614-763-4427
  • Fax: 614-763-4497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279H0200X
TaxonomyHome Health Registered Respiratory Therapist
License Number2237
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: