Individual
DR. KRISTIN D KAEMMERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 W WALNUT ST, ROGERS, AR 72756-3546
(479) 636-0200
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-3843
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5M751
BLUE CROSS
AR
01
—
P00208400
RAIL ROAD MEDICARE
AR
Enumeration date
05/23/2006
Last updated
11/30/2007
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