Provider Demographics
NPI:1972557338
Name:KEMMERLY, ANITA SMITH (MD)
Entity type:Individual
Prefix:DR
First Name:ANITA
Middle Name:SMITH
Last Name:KEMMERLY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1700 SPRINGHILL AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36604-1407
Mailing Address - Country:US
Mailing Address - Phone:251-435-1200
Mailing Address - Fax:251-435-6357
Practice Address - Street 1:1700 SPRINGHILL AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-1407
Practice Address - Country:US
Practice Address - Phone:251-435-1200
Practice Address - Fax:251-435-6357
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2019-03-20
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Provider Licenses
StateLicense IDTaxonomies
AL18955207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALF30077Medicare UPIN
AL51028175Medicare ID - Type Unspecified