Individual
DANIELLE C KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7938 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 458-3575
(260) 458-3582
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 458-3575
(260) 458-3582
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01082519A
IN
207Q00000X
Family Medicine Physician
11020088A
IN
Other
Enumeration date
06/14/2018
Last updated
07/14/2021
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