Individual
AUDREY MAUREEN KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
26 SHENIPSIT LAKE RD, TOLLAND, CT 06084-2332
(860) 872-2999
(860) 872-1848
Mailing address
6 ROOT LN, HEBRON, CT 06248-1283
(860) 655-4615
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1002565
CT
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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