Individual
DR. ROBERT WAYNE KAEMMERLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
840 W FLOYD BAKER BLVD, GAFFNEY, SC 29341-1845
(864) 489-3300
(864) 488-3744
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10231
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102310
—
SC
01
—
26185
MEDCOST
SC
01
—
4571262
AETNA
SC
05
—
890518I
—
NC
01
—
B916606121
MEDICARE PIN
SC
01
—
SC76326067
MEDICARE PIN
SC
01
—
SC7632J577
MEDICARE PIN
SC
Enumeration date
01/27/2006
Last updated
01/10/2020
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