Individual
DR. KAMERON BURKE KLOSTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7221 S PINE ST, PACOLET, SC 29372-3122
(864) 474-1528
(864) 474-1049
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
27023
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270236
—
SC
01
—
9997050
AETNA
SC
01
—
P01221611
RAIRLROAD MEDICARE
SC
01
—
SC9525J577
MEDICARE PIN
SC
Enumeration date
08/28/2006
Last updated
03/10/2021
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