Individual
DR. JEFFREY RUSSELL KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 4TH ST, HOSPITALIST, LONGVIEW, TX 75605-5128
(903) 758-1818
Mailing address
PO BOX 610393, DALLAS, TX 75261-0393
(903) 291-6187
(903) 237-1810
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R0429
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366479902
—
TX
Enumeration date
07/03/2013
Last updated
09/24/2019
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