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NPI Code Detail

MEDICARE: KATHRYN A HEMKER PHD

MEDICARE:   KATHRYN A HEMKER  PHD
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
1103TC0700XClinical Psychologist5239OH

Other Identifiers

General Provider Information

NPI Number : 1750386967
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN A HEMKER PHD
Provider Business Mailing Address
First Line : 20415 GULF VICTORY WAY
Second Line :
City : FORT BLISS
State : TX
Zip : 79918-8066
Country : US
Telephone Number : 304-834-4303
Fax Number :
Provider Business Practice Location Address
First Line : 20415 GULF VICTORY WAY
Second Line :
City : FORT BLISS
State : TX
Zip : 79918-8066
Country : US
Telephone Number : 304-834-4303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 10/08/2024

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Directions to “ KATHRYN A HEMKER PHD” Practice Location

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