Provider Demographics
NPI:1992780639
Name:KREMER, PERRY JAMES (PA-C)
Entity type:Individual
Prefix:MR
First Name:PERRY
Middle Name:JAMES
Last Name:KREMER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:5735 JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:BUZZARDS BAY
Mailing Address - State:MA
Mailing Address - Zip Code:02542-1422
Mailing Address - Country:US
Mailing Address - Phone:508-685-7772
Mailing Address - Fax:508-968-6581
Practice Address - Street 1:5201 LEE RD
Practice Address - Street 2:KAEHLER MEMORIAL MEDICAL CLINIC
Practice Address - City:BUZZARDS BAY
Practice Address - State:MA
Practice Address - Zip Code:02542
Practice Address - Country:US
Practice Address - Phone:508-968-6572
Practice Address - Fax:508-968-6581
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA1758363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical