Individual
KELLY KEMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
312 N CALIFORNIA ST, SOCORRO, NM 87801-4207
(505) 967-5033
Mailing address
312 N CALIFORNIA ST, SOCORRO, NM 87801-4207
(575) 835-2125
(575) 835-2026
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5290
NM
Other
Enumeration date
04/18/2016
Last updated
01/28/2017
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