Individual
NICOLE R KEMPKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Mailing address
1515 HIGHLAND AVE, FULTON, MO 65251-2333
(573) 220-6054
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2015033510
MO
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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