Individual
PETER B KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 E APACHE ST, FARMINGTON, NM 87401-6904
(505) 325-3549
(505) 325-7803
Mailing address
208 E APACHE ST, FARMINGTON, NM 87401-6904
(505) 325-3549
(505) 325-7803
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3901
NM
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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