Provider Demographics
NPI:1639177629
Name:KEMLER, BARRY J (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:J
Last Name:KEMLER
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 1:300 KENSINGTON AVE
Mailing Address - Street 2:GROVE HILL MEDICAL CENTER
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-3916
Mailing Address - Country:US
Mailing Address - Phone:860-224-6249
Mailing Address - Fax:860-224-6241
Practice Address - Street 1:300 KENSINGTON AVE
Practice Address - Street 2:GROVE HILL MEDICAL CENTER
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051-3916
Practice Address - Country:US
Practice Address - Phone:860-224-6249
Practice Address - Fax:860-224-6241
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT22221207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001222215Medicaid
CT010022221CT01OtherBCBS N BCFP PROV ID
CT060054OtherHEALTH NET PROV ID
CTP369967OtherOXFORD PROV ID
CT5405001OtherCONNECTICARE PROV ID
CT71141OtherAETNA REF ID
CT912454OtherHEALTH NET REF ID
CT01022221OtherCIGNA PROV ID
CT1255448155OtherGHMC GRP NPI ID
CT367630OtherWELLCARE MEDICARE
CT004062394Medicaid
CT060054OtherHEALTH NET PROV ID
CTP369967OtherOXFORD PROV ID
CT001222215Medicaid