MEDICARE: DR. KERRY L TEMAR D.P.M.

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	213E00000X	Podiatrist	36003484	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407907439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KERRY L TEMAR D.P.M.

Provider Business Mailing Address
First Line	:	5521 MONTGOMERY RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-1848
Country	:	US
Telephone Number	:	513-791-5753
Fax Number	:	513-791-2435

Provider Business Practice Location Address
First Line	:	5521 MONTGOMERY RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-1848
Country	:	US
Telephone Number	:	513-791-5753
Fax Number	:	513-791-2435

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

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	06/10/2021

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