Individual
PAUL ALAN KAMMERLOCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3115 SW 89TH ST, OKLAHOMA CITY, OK 73159-7901
(405) 486-6900
(405) 486-6839
Mailing address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 230-9000
(405) 230-9157
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
17277
OK
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
17277
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100825150C
—
OK
05
—
200034662
—
OK
Enumeration date
07/11/2005
Last updated
04/05/2023
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