Individual provider · Type 1 NPI

Matthew Ryan Kemmerle, MD

Student in an Organized Health Care Education/Training Program · Tulsa, OK

NPI number 1730860701 Active

Practice location

1919 S Wheeling Ave
Tulsa, OK 74104-5638

Call (918) 634-7500 Map

Mailing address

79 Truxton St Apt 4A
Brooklyn, NY 11233-5476

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730860701

Matthew Ryan Kemmerle, MD's National Provider Identifier is 1730860701, issued on Jul 31, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tulsa, OK. The record was last updated on Jul 31, 2023.