Individual
DR. KENNETH J HAMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1199 BUSH STREET, SUITE #500, SAN FRANCISCO, CA 94109
(415) 673-7600
(415) 673-8065
Mailing address
1199 BUSH STREET, SUITE #500, SAN FRANCISCO, CA 94109
(415) 673-7600
(415) 673-8065
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G25963
CA
207RG0100X
Gastroenterology Physician
Primary
G25963
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G259630
—
CA
01
—
10W02904
MEDICARE RR
—
01
—
CY0128
MEDICARE RR
—
Enumeration date
11/01/2006
Last updated
09/11/2025
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