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NPI Code Detail

MEDICARE: CATHERINE T. KEMMER, MD, PA

MEDICARE: CATHERINE T. KEMMER, MD, PA
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
1207VG0400XGynecology Physician90-61NM

General Provider Information

NPI Number : 1184645319
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATHERINE T. KEMMER, MD, PA
Provider Business Mailing Address
First Line : 2100 S TRIVIZ DR STE H
Second Line :
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 STE H
Second Line :
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 : PRESIDENT
Name : CATHERINE T. KEMMER
Credential : MD
Telephone Number : 505-522-9793
Provider Enumeration Date : 07/22/2006
Last Update Date : 08/22/2020

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