Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor |
NPI | 1003908518 |
---|---|
Provider Name | Curtis Gale Kemmerer |
First Address | Bethlehem, PA 18017-3936 |
Second Address | Bethlehem, PA 18017-3677 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 08/07/2007 |