Individual
SCOTT R. KEMMERER
Active
Individual
SCOTT R. KEMMERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
049910
GA
2085B0100X
Body Imaging Physician
34995
TN
2085R0202X
Diagnostic Radiology Physician
049910
GA
2085R0202X
Diagnostic Radiology Physician
Primary
34995
TN
2085R0204X
Vascular & Interventional Radiology Physician
049910
GA
2085R0204X
Vascular & Interventional Radiology Physician
34995
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000795561
—
GA
01
—
006868
BCBS OF GA
GA
05
—
3865400
—
TN
01
—
4014295
TN BCBS
TN
01
—
4073007
BCBS OF TN
TN
01
—
868525
GA BCBS
GA
Enumeration date
03/01/2006
Last updated
02/22/2018
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