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Individual

DR. JONATHAN R KEMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1201 NOTT ST, SUITE 106, SCHENECTADY, NY 12308-2589
(518) 374-3123
(518) 374-9711
Mailing address
1201 NOTT ST, SUITE 106, SCHENECTADY, NY 12308-2589
(518) 374-3123
(518) 374-9711

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
199471-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000086338
GHI HMO
01
000405012001
BLUE SHIELD NENY
01
000405012002
BLUE SHIELD
05
01561504
NY
01
040426006641
FIDELIS
01
05302
MVP
01
10001037
CDPHP
01
110160500
US DEPT OF LABOR
01
199471-1
TRICARE
01
33570H
FIDELIS MEDICARE
01
6T854
EMPIRE BLUE CROSS
01
9689400
GHI
01
CAN1994714
WORKERS COMP
01
G09312
AMERICAN PROGRESSIVE TODA
01
JK06T85410
EMPIRE BLUE CROSS
01
JK06T85420
EMPIRE BLUE CROSS
Enumeration date
08/09/2005
Last updated
01/26/2011
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