Individual
MARK WELLS KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
955 S BAILEY AVE STE 200, SOUTH HAVEN, MI 49090-6743
(269) 639-2777
Mailing address
601 JOHN STREET, BOX 42, KALAMAZOO, MI 49007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101010415
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3381662
—
MI
05
—
3409754
—
MI
05
—
3494728
—
MI
05
—
4183150
—
MI
05
—
4877859
—
MI
05
—
4878533
—
MI
Enumeration date
05/22/2006
Last updated
01/02/2025
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