Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | DR.0063662 | CO |
NPI | 1073907457 |
---|---|
Provider Name | Ryan Kammeyer |
First Address | Aurora, CO 80045-2570 |
Second Address | Aurora, CO 80045-2541 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2015 |
Last Update Date | 20/07/2020 |