Individual
GREGORY KEMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1302 AVENUE OF MID AMERICA, EFFINGHAM, IL 62401-4647
(217) 342-1122
(217) 342-1124
Mailing address
1302 AVENUE OF MID AMERICA, EFFINGHAM, IL 62401-4647
(217) 342-1122
(217) 342-1124
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3038
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3038
HEARING DISPENSER LICENSE
IL
Enumeration date
07/27/2015
Last updated
07/27/2015
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