| Doctor Name: | BEVERLY JEANNE KEMMERLING |
| NPI Number: | 1083606438 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP-C |
| License Number: | RN435904 |
| Business Practice Address: | 26455 Rockwell Canyon Rd Coc Student Health & Wellness Center Santa Clarita, CA - 913551803 |
| Business Phone Number: | 6613623259 |
| Business Fax Number: | 6613625051 |
| Mailing Address: | 3270 Valewood Cir, THOUSAND OAKS |
| State: | CA |
| Postal Code: | 913602865 |
| Phone Number: | 8054059883 |
| Fax Number: | 6613625051 |
| NPI Enumeration Date: | 08/19/2005 |
| NPI Last Update Date: | 07/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LC1500X |
| License Number: | RN435904 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |