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Individual
KEMPER MARION BRAND II
Active
Individual
KEMPER MARION BRAND II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
006237
GA
363A00000X
Physician Assistant
Primary
2143
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1950PA
—
SC
Enumeration date
04/16/2014
Last updated
06/07/2021
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