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Individual

MISS ALBERTA S KEMPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP-BC

Contact information

Practice address
107 JAVIT CT, YOUNGSTOWN, OH 44515-2410
(330) 797-0455
Mailing address
742 W WILSON ST, BOX 653, SALEM, OH 44460-2066
(330) 277-3355

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2009007481
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3128645
OH
Enumeration date
10/26/2009
Last updated
04/15/2015
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