Provider Demographics
NPI:1295580439
Name:KEMERER, ANDREW C
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:C
Last Name:KEMERER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3295 CLAY PIKE STREET
Mailing Address - Street 2:
Mailing Address - City:HERMINIE
Mailing Address - State:PA
Mailing Address - Zip Code:15637
Mailing Address - Country:US
Mailing Address - Phone:724-972-8228
Mailing Address - Fax:
Practice Address - Street 1:3295 CLAY PIKE ST
Practice Address - Street 2:
Practice Address - City:HERMINIE
Practice Address - State:PA
Practice Address - Zip Code:15637-1494
Practice Address - Country:US
Practice Address - Phone:724-972-8228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer