Individual
ASHLEY RENE KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-2000
Mailing address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA370
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018942100
—
FL
Enumeration date
09/14/2016
Last updated
09/04/2020
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