MEDICARE: DR. EDWARD RAE KAEMMERLING D.C.

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	111N00000X	Chiropractor	9418	TX

General Provider Information

NPI Number	:	1750467353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD RAE KAEMMERLING D.C.

Provider Business Mailing Address
First Line	:	12926 DAIRY ASHFORD RD
Second Line	:	STE 182
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-4582
Country	:	US
Telephone Number	:	281-650-6019
Fax Number	:

Provider Business Practice Location Address
First Line	:	5819 HIGHWAY 6
Second Line	:	SUITE 250
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4052
Country	:	US
Telephone Number	:	281-208-8880
Fax Number	:	281-208-3032

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

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	05/31/2016

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