Individual
EDWARD KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-3390
Mailing address
400 N PEPPER AVE # 205, COLTON, CA 92324-1801
(909) 580-6353
(909) 580-6369
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
52062
CA
Other
Enumeration date
10/21/2014
Last updated
12/03/2021
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