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Individual

BEVERLY JEANNE KEMMERLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-C

Contact information

Practice address
26455 ROCKWELL CANYON RD, COC STUDENT HEALTH & WELLNESS CENTER, SANTA CLARITA, CA 91355-1803
(661) 362-3259
(661) 362-5051
Mailing address
3270 VALEWOOD CIR, THOUSAND OAKS, CA 91360-2865
(805) 405-9883
(661) 362-5051

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN435904
CA
363LC1500X
Community Health Nurse Practitioner
RN435904
CA
363LX0106X
Occupational Health Nurse Practitioner
RN435904
CA

Other

Enumeration date
08/19/2005
Last updated
03/07/2023
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