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Individual

DR. ELLEN LORRAINE KEMPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7300 KLAWOCK HOLLIS HIGHWAY, KLAWOCK, AK 99925
(907) 755-4800
(907) 755-4981
Mailing address
PO BOX 309, CRAIG, AK 99921
(907) 826-2235
(907) 755-4981

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5943
AK
207Q00000X
Family Medicine Physician
M5212
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35077
L & I
WA
05
MD6258
AK
Enumeration date
12/15/2005
Last updated
10/25/2007
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