Kemmerly, Shaun M
Kemmerly, Shaun M is an individual health care provider with primary practice located at 7777 Hennessy Blvd Suite 103, Baton Rouge LA 70808-4300. She recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as her primary health care specialty. Kemmerly, Shaun M can be contacted via phone (225) 767-6700.Contact Information
Primary practice address
7777 Hennessy Blvd Suite 103
Baton Rouge LA 70808-4300
Phone: (225) 767-6700
Fax: (225) 767-6721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | 019907 | Louisiana |
Profile Details
| NPI number | 1629038559 |
|---|---|
| LBN Legal business name | Kemmerly, Shaun M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629038559 | NPPES |
| Louisiana | MEDICAID | 1913669 |
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