Provider Demographics
NPI:1184645319
Name:CATHERINE T. KEMMER, MD, PA
Entity Type:Organization
Organization Name:CATHERINE T. KEMMER, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:T
Authorized Official - Last Name:KEMMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:505-522-9793
Mailing Address - Street 1:2100 S TRIVIZ DR STE H
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001-0601
Mailing Address - Country:US
Mailing Address - Phone:505-522-9793
Mailing Address - Fax:505-532-9019
Practice Address - Street 1:2100 S TRIVIZ DR STE H
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-0601
Practice Address - Country:US
Practice Address - Phone:505-522-9793
Practice Address - Fax:505-532-9019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM90-61207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty