Individual
DR. RUSSELL RICHARD KEMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
216 N MAIN ST, NEVADA, MO 64772-2332
(417) 667-3831
(417) 667-4532
Mailing address
216 N MAIN ST, NEVADA, MO 64772-2332
(417) 667-3831
(417) 667-4532
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R2D38
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241853324
—
MO
Enumeration date
07/01/2005
Last updated
11/17/2009
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