Individual
JAMES M KAMMERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6420 DUTCHMANS PKWY, SUITE 200, LOUISVILLE, KY 40205-3372
(502) 891-8300
(502) 891-8338
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
24304
KY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
24304
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044919
ANTHM PIN
KY
01
—
000000693031
ANTHEM - NCVA
KY
01
—
000057080H
HUMANA - NCVA
KY
05
—
100388630A
—
IN
05
—
100388630F
—
IN
01
—
1056114
PASSPORT PIN
KY
01
—
2433838000
PASSPORT ADVANTAGE PIN
KY
01
—
50031414
PASSPORT & PASSPORT ADVTG NCVA
KY
05
—
64243041
—
KY
01
—
P00889590
MEDICARE RR - NCVA
KY
Enumeration date
06/29/2006
Last updated
09/02/2021
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