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Individual

HEATHER PARR KEMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4901 GRANDE DR, PENSACOLA, FL 32504-8965
(850) 477-7042
(850) 477-7042
Mailing address
4901 GRANDE DR, PENSACOLA, FL 32504-8965
(850) 477-7042
(850) 477-7042

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9169717
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009936606
AL
05
307538900
FL
01
591-85013
BLUE CROSS BLUE SHIELD
AL
01
G395
BLUE CROSS BLUE SHIELD
FL
01
P00314665
MEDICARE RAILROAD
Enumeration date
03/01/2006
Last updated
06/09/2009
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