Individual
STEVEN KEMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP APPLICANT
Contact information
Practice address
2255 E BUTLER AVE, KINGMAN, AZ 86409-1833
(928) 379-0839
Mailing address
2255 E BUTLER AVE, KINGMAN, AZ 86409-1833
(928) 379-0839
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN095853
IA
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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