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Individual
ZACHARY A KEMP
Active
Individual
ZACHARY A KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002194A
IN
363AM0700X
Medical Physician Assistant
10002194A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001092657
ANTHEM PTAN
IN
01
—
000001631202
ANTHEM PTAN
IN
05
—
201237790M
—
IN
05
—
300012889
—
IN
Enumeration date
10/12/2016
Last updated
11/04/2025
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