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Individual

PAUL ALAN KAMMERLOCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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