Provider Demographics
NPI:1447674932
Name:DOHMAN-KEHRER, JENNIFER VARA
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:VARA
Last Name:DOHMAN-KEHRER
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:DOHMAN-KEHRER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7 OLIVER PL
Mailing Address - Street 2:7 OLIVER PLACE
Mailing Address - City:SILVER CREEK
Mailing Address - State:NY
Mailing Address - Zip Code:14136-1401
Mailing Address - Country:US
Mailing Address - Phone:716-934-4426
Mailing Address - Fax:
Practice Address - Street 1:7 OLIVER PL
Practice Address - Street 2:7 OLIVER PLACE
Practice Address - City:SILVER CREEK
Practice Address - State:NY
Practice Address - Zip Code:14136-1401
Practice Address - Country:US
Practice Address - Phone:716-934-4426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-05
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY676208174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist