Individual
JENNA KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 E HICKMAN RD, WAUKEE, IA 50263-5011
(515) 987-3447
(515) 987-6957
Mailing address
30 E HICKMAN RD, WAUKEE, IA 50263-5011
(515) 987-3447
(515) 987-6957
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37889
IA
207Q00000X
Family Medicine Physician
R8059
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760680235
—
IA
Enumeration date
07/06/2007
Last updated
05/17/2012
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