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Individual

LEVI WILLIAM KEMPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
269 S CANDY LN, COTTONWOOD, AZ 86326-4158
(928) 634-2251
Mailing address
325 WALDEN GLEN LN, EVANS, GA 30809-3130
(620) 277-8327

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
249794
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
249794
ARIZONA BOARD OF NURSING
AZ
Enumeration date
01/20/2021
Last updated
01/20/2021
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