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Individual

ELAINE M KEMPKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
ELDON R-I, 112 S PINE ST, ELDON, MO 65026-1581
(573) 392-8003
(573) 392-8080
Mailing address
112 S PINE ST, ELDON, MO 65026-1581
(573) 392-8003
(573) 392-8080

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00228
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
463131102
MO
Enumeration date
04/27/2007
Last updated
02/20/2009
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