Provider Demographics
NPI:1396157699
Name:KAMMERICH, BRITTANY (MD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:
Last Name:KAMMERICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:670 MASON RIDGE CENTER DR
Mailing Address - Street 2:STE 300
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8573
Mailing Address - Country:US
Mailing Address - Phone:573-815-8130
Mailing Address - Fax:573-815-8149
Practice Address - Street 1:1605 E BROADWAY
Practice Address - Street 2:STE 110
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-8023
Practice Address - Country:US
Practice Address - Phone:573-815-8130
Practice Address - Fax:573-815-8149
Is Sole Proprietor?:No
Enumeration Date:2014-05-21
Last Update Date:2015-10-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA128406207Q00000X
MO2015014065207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine