Individual
DR. BERNARD PERKINS KEMKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
712 W 13TH ST, JASPER, IN 47546-1816
(812) 482-4494
Mailing address
712 W 13TH ST, SUITE 220, JASPER, IN 47546-1816
(812) 482-4494
(812) 482-4499
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01039177
IN
208600000X
Surgery Physician
01039177
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000220291
ANTHEM BLUE CROSS
IN
05
—
100110880
—
IN
01
—
CJ8820
MEDICARE RAILROAD
IN
Enumeration date
03/02/2006
Last updated
10/22/2009
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