Individual
TUCKER KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 N TUCKER BLVD, SAINT LOUIS, MO 63101-1008
(314) 802-0700
Mailing address
200 E OFALLON DR, CASEYVILLE, IL 62232-2039
(618) 972-3925
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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