Individual
LISA VIRGINIA KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2180 MAIN ST, WAILUKU, HI 96793-1625
(808) 242-4267
(808) 242-4292
Mailing address
2180 MAIN ST, WAILUKU, HI 96793-1625
(808) 242-4267
(808) 242-4292
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
AMD 299
HI
Other
Enumeration date
09/27/2006
Last updated
01/20/2009
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