Individual
ABBIE CREIGHTON KEMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 KINGS HWY, DEPARTMENT OF RADIOLOGY, SHREVEPORT, LA 71103-4228
(318) 675-7737
(318) 675-5666
Mailing address
1501 KINGS HWY, DEPARTMENT OF RADIOLOGY, SHREVEPORT, LA 71103-4228
(318) 675-7737
(318) 675-5666
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
021978
LA
2085R0203X
Therapeutic Radiology Physician
021978
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1494771
—
LA
Enumeration date
07/15/2006
Last updated
10/07/2010
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