Individual
DWIGHT KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 934-7008
Mailing address
2863 CONWAY RD APT 313, ORLANDO, FL 32812-5987
(305) 989-5105
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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