Individual
DELORES R KEMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4929 N 26TH ST, MILWAUKEE, WI 53209-5506
(262) 422-0220
Mailing address
4929 N 26TH ST, MILWAUKEE, WI 53209-5506
(262) 422-0220
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
251K00000X
Public Health or Welfare Agency
—
—
3747A0650X
Attendant Care Provider
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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