Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 20A 8221 | CA |
NPI | 1295950533 |
---|---|
Provider Name | Dr. Katrina Celeste Kaemmerer |
First Address | Rolling Hills Estates, CA 90274-3647 |
Second Address | Rolling Hills Estates, CA 90274-3647 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2007 |
Last Update Date | 08/07/2007 |