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Individual

DR. RICHARD H KAMMENZIND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 JOHN ST, SUITE M-170, KALAMAZOO, MI 49007-5341
(269) 381-5060
(269) 381-1655
Mailing address
601 JOHN ST, SUITE M170A, KALAMAZOO, MI 49007-5341
(269) 381-5060
(269) 381-1655

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301073526
MI
207RN0300X
Nephrology Physician
Primary
4301073526
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1103053510
BCBS IND PIN
MI
01
110C910470
BCBS GRP PIN
MI
01
4016855
AETNA PIN
05
4457836-10
MI
Enumeration date
06/15/2006
Last updated
11/27/2023
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