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NPI Code Detail

MEDICARE: ANDREW KAMMERER DC

MEDICARE:   ANDREW  KAMMERER  DC
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
1111N00000XChiropractorCH13398FL

General Provider Information

NPI Number : 1104402833
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW KAMMERER DC
Provider Business Mailing Address
First Line : 6250 PARK BLVD N
Second Line :
City : PINELLAS PARK
State : FL
Zip : 33781-3237
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6250 PARK BLVD N
Second Line :
City : PINELLAS PARK
State : FL
Zip : 33781-3237
Country : US
Telephone Number : 727-541-2520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2021
Last Update Date : 03/23/2021

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Directions to “ ANDREW KAMMERER DC” Practice Location

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