Provider Demographics
NPI:1083972061
Name:KEMERE, KATHRYN JORDAN (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:JORDAN
Last Name:KEMERE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1709 DRYDEN ROAD, SUITE 5.70
Mailing Address - Street 2:FACULTY CENTER, BCM 620
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-798-0190
Mailing Address - Fax:
Practice Address - Street 1:1709 DRYDEN ROAD, SUITE 5.70
Practice Address - Street 2:FACULTY CENTER, BCM 620
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-798-0190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10043096207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine