Individual
AMY KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10101 RIDGEGATE PKWY, LONE TREE, CO 80124-5522
(720) 225-1900
(303) 306-7753
Mailing address
PO BOX 173862, DENVER, CO 80217-3862
(303) 306-7783
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4720
AZ
363A00000X
Physician Assistant
Primary
PA.0003709
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
567073
—
AZ
05
—
81730560
—
CO
01
—
P01330330
RAILROAD MEDICARE
CO
Enumeration date
10/01/2010
Last updated
05/14/2015
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