Provider Demographics
NPI:1609180868
Name:KACHELMEIER, PAMELA ANN (MA, PC (EAMH))
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:ANN
Last Name:KACHELMEIER
Suffix:
Gender:F
Credentials:MA, PC (EAMH)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17412 W WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:KIEL
Mailing Address - State:WI
Mailing Address - Zip Code:53042-3437
Mailing Address - Country:US
Mailing Address - Phone:920-980-5326
Mailing Address - Fax:
Practice Address - Street 1:17412 W WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:KIEL
Practice Address - State:WI
Practice Address - Zip Code:53042-3437
Practice Address - Country:US
Practice Address - Phone:920-980-5326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program