Individual
DR. CONSTANCE IANTHA KEMPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 WEST BLVD, BIRMINGHAM, AL 35206-1300
(205) 591-5180
(205) 551-0347
Mailing address
601 WEST BLVD, BIRMINGHAM, AL 35206-1300
(205) 591-5180
(205) 551-0347
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00004563
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051510119
BLUE SHIELD
AL
05
—
303719357
—
AL
01
—
G588
MEDICARE GROUP NUMBER
AL
Enumeration date
03/15/2006
Last updated
02/18/2011
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