Individual
DR. WILLIAM ALLEN KAMMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOBSON RD., FORT WAYNE, IN 46805-4802
(260) 469-6601
(260) 969-3067
Mailing address
1234 E DUPONT RD, SUITE 3, FORT WAYNE, IN 46825-1545
(260) 373-9965
(260) 458-5664
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01024405A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000595577
ANTHEM
IN
05
—
100050530A
—
IN
01
—
P00698404
RAILROAD MEDICARE
IN
Enumeration date
08/20/2006
Last updated
10/02/2009
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