MEDICARE: CAMRYN G KILMER

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	246RP1900X	Phlebotomy Technician

General Provider Information

NPI Number	:	1649113390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMRYN G KILMER

Provider Business Mailing Address
First Line	:	1048 W 1ST ST APT 1107
Second Line	:
City	:	CHENEY
State	:	WA
Zip	:	99004-5249
Country	:	US
Telephone Number	:	509-989-8001
Fax Number	:

Provider Business Practice Location Address
First Line	:	1048 W 1ST ST APT 1107
Second Line	:
City	:	CHENEY
State	:	WA
Zip	:	99004-5249
Country	:	US
Telephone Number	:	509-989-8001
Fax Number	:

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

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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Directions to “ CAMRYN G KILMER ” Practice Location

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