Individual
KACIE REMPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
420 POLIFKA DR BLDG 1042, SHAW AFB, SC 29152-5100
(210) 567-5711
Mailing address
420 POLIFKA DR BLDG 1042, SHAW AFB, SC 29152-5100
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2641
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2021
Last updated
08/31/2022
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