Deremer, Kathleen R

Deremer, Kathleen R is an individual health care provider with primary practice located at 5405 S 500 E Suite 100, Ogden UT 84405-6957. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Deremer, Kathleen R can be contacted via phone (801) 475-8600.

Contact Information

Primary practice address
5405 S 500 E Suite 100 Ogden UT 84405-6957
Fax: (801) 475-8686
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 320722-1205 Utah
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 320722-1205 Utah

Profile Details

NPI number 1437267192
LBN Legal business name Deremer, Kathleen R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Sep 9th, 2010 - about 16 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 1437267192 NPPES
Utah MEDICAID 1437267192

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