Individual
NICOLE D KEMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
3330 GRANT AVE, PHILADELPHIA, PA 19114-2600
(267) 257-7996
(215) 464-7638
Mailing address
534 W MIDVALE AVE, PHILADELPHIA, PA 19144-4618
(267) 257-7996
(215) 464-7638
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
949149
PA
Other
Enumeration date
08/11/2007
Last updated
10/26/2009
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