Individual
CHRISTOPHER KEMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
355 W MAIN ST, MALONE, NY 12953-1827
(315) 250-7385
Mailing address
355 W MAIN ST, MALONE, NY 12953-1827
(315) 250-7385
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
021370
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023170
PHYSICAL THERAPY LICENSE NUMBER
NY
Enumeration date
05/22/2019
Last updated
05/22/2019
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