Individual
MRS. KAREN MICHELLE HEMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
611 FULTON ST STE A, PORT CLINTON, OH 43452-2008
(419) 734-0699
(419) 734-0320
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 609-1112
(419) 609-1123
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1085914
NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
OH
01
—
560942
WELLCARE
OH
01
—
HEPA33131
MEDICARE
OH
Enumeration date
03/23/2009
Last updated
09/20/2018
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