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Individual

MARK ALLEN KEMBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
245 PARKWAY E, DUNCAN, SC 29334-9489
(864) 661-1539
(864) 641-6647
Mailing address
223 ADLEY WAY, GREENVILLE, SC 29607-6511
(864) 907-8412

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15479
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
154790
SC
01
4394471
AETNA
SC
01
571004971012
BCBS OF SC
SC
01
80109540
RR MEDICARE
SC
01
9576433
CIGNA
SC
Enumeration date
06/28/2006
Last updated
04/14/2016
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