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NPI Code Detail

MEDICARE: KATHRYN J KEMMERLING MS

MEDICARE: KATHRYN J KEMMERLING MS
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
1106H00000XMarriage & Family Therapist166000919IL

General Provider Information

NPI Number : 1679722946
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN J KEMMERLING MS
Provider Business Mailing Address
First Line : 1120 E MAIN ST
Second Line : SUITE 201
City : ST CHARLES
State : IL
Zip : 60174-2287
Country : US
Telephone Number : 630-377-6613
Fax Number : 630-377-6225
Provider Business Practice Location Address
First Line : 110 E COUNTRYSIDE PKWY
Second Line : SUITE C
City : YORKVILLE
State : IL
Zip : 60560-1813
Country : US
Telephone Number : 630-553-1600
Fax Number : 630-553-7993
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2008
Last Update Date : 04/01/2015

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Directions to “ KATHRYN J KEMMERLING MS” Practice Location

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