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Individual
JEFFREY ALAN KEMP
Active
Individual
JEFFREY ALAN KEMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02099
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0274241
—
IA
01
—
421493296-01
JOHN DEERE PROVIDER ID
IA
01
—
45190
BLUE CROSS BLUE SHIELD ID
IA
Enumeration date
07/18/2005
Last updated
03/23/2012
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