Individual
DONNA RENEE KEMPG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
1385 N TATUM BLVD, PHOENIX, AZ 85032
(480) 234-9448
Mailing address
PO BOX 286, MESA, AZ 85211-0286
(480) 234-9448
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1268
AZ
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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