Individual
DR. MATTHEW RYAN KEMMERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 S WHEELING AVE, TULSA, OK 74104-5638
(918) 634-7500
Mailing address
79 TRUXTON ST APT 4A, BROOKLYN, NY 11233-5476
(929) 369-7169
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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