Individual
LUCAS ALEXANDER KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3801 SPRING ST, MOUNT PLEASANT, WI 53405-1667
(126) 268-7401
Mailing address
7111 FAIRWAY DR, SUITE 450, PALM BEACH GARDENS, FL 33418-4204
(156) 152-3202
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
176577-030
WI
367500000X
Certified Registered Nurse Anesthetist
R 185793-5
MN
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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