Provider Demographics
NPI:1720170780
Name:KAYMEN, AMELIA HEWITT (MD)
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:HEWITT
Last Name:KAYMEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2211 POST ST
Mailing Address - Street 2:SUITE 404
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3464
Mailing Address - Country:US
Mailing Address - Phone:415-441-1670
Mailing Address - Fax:415-441-1676
Practice Address - Street 1:2211 POST ST
Practice Address - Street 2:SUITE 404
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3464
Practice Address - Country:US
Practice Address - Phone:415-441-1670
Practice Address - Fax:415-441-1676
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2016-02-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG532350207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG532350OtherLICENSE NUMBER
CAE92119Medicare UPIN