Doctor Name: | MRS. VALERIE ANN KUEMMEL |
NPI Number: | 1285786624 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 000907 |
Business Practice Address: | 13400 Main Road Mattituck, NY - 119523209 |
Business Phone Number: | 6312984008 |
Business Fax Number: | 6312985969 |
Mailing Address: | 77 Woodhull Landing Rd, SOUND BEACH |
State: | NY |
Postal Code: | 117892050 |
Phone Number: | 6317446396 |
Fax Number: | |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 000907 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |