Provider Demographics
NPI:1598745358
Name:KEMERER, VERNE F (MD)
Entity Type:Individual
Prefix:DR
First Name:VERNE
Middle Name:F
Last Name:KEMERER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7801 OLD BRANCH AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-1608
Mailing Address - Country:US
Mailing Address - Phone:301-856-6718
Mailing Address - Fax:301-856-6722
Practice Address - Street 1:8926 WOODYARD RD
Practice Address - Street 2:SUITE 301
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-4220
Practice Address - Country:US
Practice Address - Phone:301-856-3670
Practice Address - Fax:301-868-0129
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2016-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD25388174400000X
VA0101038048174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010279232Medicaid
MD208600000Medicaid
VA010331986Medicaid
VA007213026Medicaid
VA300105444Medicare PIN
MD221L262BMedicare PIN
VA00X011N05Medicare PIN
DC110510R04Medicare PIN
VA010331986Medicaid
VA010279232Medicaid