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Individual

ANGELA KEMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
30 E APPLE ST, STE 6258, DAYTON, OH 45409-2939
(937) 208-5300
(937) 208-5650
Mailing address
30 E APPLE ST, STE 6258, DAYTON, OH 45409-2939
(937) 208-5300
(937) 208-5650

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003804
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0094728
OH
Enumeration date
11/13/2009
Last updated
06/23/2014
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