Individual
SARA R KEMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 E PRIMROSE ST, SPRINGFIELD, MO 65807-5154
(417) 269-9812
(417) 269-9853
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2006005281
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207077
BLUE CROSS OF MO
—
Enumeration date
09/25/2006
Last updated
12/06/2019
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