Individual
JACQUELINE KREMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 757-2101
Mailing address
PO BOX 446, SILVERDALE, WA 98383-0446
(360) 434-8755
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10974
AZ
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
10/15/2024
Last updated
05/31/2025
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