Individual
ALICIA MARIE OSTERMAN KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8450 SEASONS PKWY, WOODBURY, MN 55125-4402
(651) 702-5300
(651) 702-5305
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
63236
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63236
MINNESOTA MEDICAL LICENSE NUMBER
MN
Enumeration date
05/06/2015
Last updated
05/19/2021
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