Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 17082 | IA |
NPI | 1437140712 |
---|---|
Provider Name | John Karl Kammermeyer |
First Address | Iowa City, IA 52245-2800 |
Second Address | Iowa City, IA 52245-2800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2005 |
Last Update Date | 19/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A01238 | (02) |