Organization
PKANESTHESIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL KEMP M.D. (CRNA)
(702) 878-0070
Entity
Organization
Contact information
Practice address
RT 1 BOX 53, MEMPHIS, MO 63555
(660) 465-8511
(660) 465-2956
Mailing address
PO BOX 29504, LAS VEGAS, NV 89126-9504
(702) 878-0070
(702) 818-1930
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
134066
MO
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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