Individual
MR. JUSTIN KEMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
5 MARKET PL, PARAGOULD, AR 72450-3555
(870) 236-4001
(870) 236-4009
Mailing address
5 MARKET PL, PARAGOULD, AR 72450-3555
(870) 236-4001
(870) 236-4009
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A003727
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195270758
—
AR
Enumeration date
08/12/2012
Last updated
03/17/2022
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