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Individual

DR. CHARLES KEMMLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
700 SPRUCE STREET, PINE BASEMENT WEST, PHILADELPHIA, PA 19106-4022
(303) 921-1175
Mailing address
700 SPRUCE STREET, PINE BASEMENT WEST, PHILADELPHIA, PA 19106-4022
(303) 921-1175

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
84659
SC
207P00000X
Emergency Medicine Physician
Primary
MT212053
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
846598
SC
Enumeration date
06/20/2016
Last updated
05/07/2024
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