Individual
MRS. VALERIE ANN KUEMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13400 MAIN ROAD, MATTITUCK, NY 11952-3209
(631) 298-4008
(631) 298-5969
Mailing address
77 WOODHULL LANDING RD, SOUND BEACH, NY 11789-2050
(631) 744-6396
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000907
NY
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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