Clemmer, Kevin R

Clemmer, Kevin R is an individual health care provider with primary practice located at 1805 Kipling St Suite 109, Lakewood CO 80215-2873. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clemmer, Kevin R can be contacted via phone (303) 237-2968.

Contact Information

Primary practice address
1805 Kipling St Suite 109 Lakewood CO 80215-2873
Phone: (303) 237-2968
Fax: (303) 237-5242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34583 Colorado

Profile Details

NPI number 1154379840
LBN Legal business name Clemmer, Kevin R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154379840 NPPES
Colorado MEDICAID 01345834
Colorado Other 38612
Colorado Other 38267004801

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