# CENTRAL ALABAMA PAIN MANAGEMENT CENTER, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568716207
- **Authorized official:** DR. ROGER WILLIAMS KEMP M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (334) 264-3367

## Contact information

- **Practice address:** 1709 FOREST AVE, MONTGOMERY, AL 36106-1543
- **Practice address phone:** (334) 264-3367
- **Practice address fax:** (334) 264-3305
- **Mailing address:** 1709 FOREST AVE, MONTGOMERY, AL 36106-1543
- **Mailing address phone:** (334) 264-3367
- **Mailing address fax:** (334) 264-3305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 15752 | AL | Yes |

## Other

- **Enumeration date:** 11/02/2012
- **Last updated:** 11/02/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000086173 | MEDICARE ID | AL |