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Individual
DR. ROBERT WAYNE KAEMMERLEN
Active
Individual
DR. ROBERT WAYNE KAEMMERLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10231
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102310
—
SC
01
—
26185
MEDCOST
SC
01
—
4571262
AETNA
SC
05
—
890518I
—
NC
01
—
B916606121
MEDICARE PIN
SC
01
—
SC76326067
MEDICARE PIN
SC
01
—
SC7632J577
MEDICARE PIN
SC
Enumeration date
01/27/2006
Last updated
01/10/2020
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