Individual
PORTIA KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
882 OAKMAN BLVD STE B, DETROIT, MI 48238-4019
(313) 967-5950
Mailing address
24627 ROANOKE AVE, OAK PARK, MI 48237-1838
(248) 798-3636
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
6803087086
MI
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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