Individual
MR. JACOB WILLIAM KEMPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDMS (AB)
Contact information
Practice address
2225 ORLEANS ST W APT 221A, STILLWATER, MN 55082-6579
(715) 864-6067
Mailing address
2225 ORLEANS ST W APT 221A, STILLWATER, MN 55082-6579
(715) 864-6067
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
114018
WI
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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