Individual
WESLEY DON KEMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
325 S MAIN AVE, BOLIVAR, MO 65613-2052
(417) 777-9000
(417) 777-9003
Mailing address
PO BOX 42, BOLIVAR, MO 65613-0042
(417) 777-9000
(417) 777-9003
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02963
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313115305
—
MO
Enumeration date
08/24/2005
Last updated
02/19/2008
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