Individual
CANDACE KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 CENTRAL AVE E, WIGGINS, MS 39577-9602
(601) 928-6700
(601) 928-6731
Mailing address
PO BOX 1810, GULFPORT, MS 39502-1810
(228) 575-1194
(228) 575-2917
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-0227
MS
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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