Organization
SUSAN E. KEMP, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN E KEMP MD (MD)
(318) 212-0412
Entity
Organization
Contact information
Practice address
1801 FAIRFIELD AVE, SUITE #304, SHREVEPORT, LA 71101
(318) 212-0412
(318) 212-0416
Mailing address
1801 FAIRFIELD AVE., SUITE #304, SHREVEPORT, LA 71101
(318) 212-0412
(318) 212-0416
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
024797
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578398
—
LA
05
—
1807567
—
LA
Enumeration date
08/07/2006
Last updated
01/05/2010
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