Individual
RYAN A KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 E 19TH AVE STE 5100, DENVER, CO 80218-1254
(303) 228-1240
(303) 306-7753
Mailing address
PO BOX 173862, DENVER, CO 80217-3862
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4700
AZ
363A00000X
Physician Assistant
Primary
PA.0003710
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30427576
—
CO
01
—
P01268756
RAILROAD MEDICARE
CO
Enumeration date
09/30/2010
Last updated
02/08/2022
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