Provider Demographics
NPI:1962468900
Name:KEMMER, NYINGI MUNANYO (MD)
Entity type:Individual
Prefix:DR
First Name:NYINGI
Middle Name:MUNANYO
Last Name:KEMMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 BAYSHORE BLVD.
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2707
Mailing Address - Country:US
Mailing Address - Phone:800-844-9302
Mailing Address - Fax:813-844-1655
Practice Address - Street 1:409 BAYSHORE BLVD.
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-2707
Practice Address - Country:US
Practice Address - Phone:800-844-9302
Practice Address - Fax:813-844-1655
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-084583207R00000X, 207RG0100X
FLME109322207RG0100X, 207RT0003X
OH35.084583207RT0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RT0003XAllopathic & Osteopathic PhysiciansInternal MedicineTransplant Hepatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY6409587000Medicaid
OHP00243958OtherRAIL ROAD MEDICARE
IN200505300Medicaid
OH2529179Medicaid
H43791Medicare UPIN
OHKE4149142Medicare PIN