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Individual

TARA LYN KEMPKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, PNP-BC

Contact information

Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-6921
(573) 884-6054
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
155291
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
2011034123
MO

Other

Enumeration date
10/21/2011
Last updated
10/16/2024
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