MEDICARE: DR. KEVIN WILLIAM KAMMLER D.O.

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	207R00000X	Internal Medicine Physician	34006652	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	110155403	OTHER	OH	TRAVELERS MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000077335	OTHER	OH	ANTHEM
2	0403686	OTHER	OH	UNITED HEALTH CARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710977400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN WILLIAM KAMMLER D.O.

Provider Business Mailing Address
First Line	:	PO BOX 1595
Second Line	:
City	:	ASHLAND
State	:	KY
Zip	:	41105-1595
Country	:	US
Telephone Number	:	606-408-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 SCIOTO TRL STE 200
Second Line	:
City	:	PORTSMOUTH
State	:	OH
Zip	:	45662-2845
Country	:	US
Telephone Number	:	740-354-8837
Fax Number	:	740-353-7943

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

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	03/07/2022

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Directions to “ DR. KEVIN WILLIAM KAMMLER D.O.” Practice Location

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