Individual
DR. AUDREY KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
322 MAIN STREET, PROSPECT HILL, NC 27314
(336) 562-3123
Mailing address
134 VICTORIAN OAKS DR, DURHAM, NC 27713-3141
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
8281
NC
1223G0001X
General Practice Dentistry
8281
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5917625
—
NC
Enumeration date
02/15/2007
Last updated
05/07/2013
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