Individual
MR. KEMPTON BROCK MACLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1900 EXETER RD, GERMANTOWN, TN 38138-2954
(901) 818-2160
Mailing address
305 CLOVER DR, INDIANOLA, MS 38751-2268
(662) 207-3695
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R852478
MS
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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