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Individual

DR. STEPHEN F KEMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
878 LAKELAND DR, LB-BUILDING, JACKSON, MS 39216-4500
(601) 815-1078
(601) 984-6994
Mailing address
878 LAKELAND DR, LB-BUILDING, JACKSON, MS 39216-4500
(601) 815-1078
(601) 984-6994

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
15704
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00118248
MS
05
104193
AL
01
P00462249
RAILROAD MEDICARE PTAN
MS
01
P01236773
RAILROAD MEDICARE PTAN
MS
Enumeration date
06/16/2006
Last updated
09/25/2015
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