Provider Demographics
NPI:1851537880
Name:KEMMETER, ESTHER NAOMI
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:NAOMI
Last Name:KEMMETER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9465 SCOFFIELD RD
Mailing Address - Street 2:
Mailing Address - City:RIPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:45167-9629
Mailing Address - Country:US
Mailing Address - Phone:937-549-4436
Mailing Address - Fax:
Practice Address - Street 1:9465 SCOFFIELD RD
Practice Address - Street 2:
Practice Address - City:RIPLEY
Practice Address - State:OH
Practice Address - Zip Code:45167-9629
Practice Address - Country:US
Practice Address - Phone:937-549-4436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-22
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2873681374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2873681Medicaid