Individual
MISS MARYHELEN M KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1059 NEAL STREET, COOKEVILLE, TN 38501
(931) 646-7058
(931) 646-7059
Mailing address
PO BOX 16068, HIGH POINT, NC 27261-6068
(888) 447-7220
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN0000015362
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326171794
GROUP NPI
—
05
—
1522195
—
TN
05
—
3629275
—
TN
01
—
4284593
BCBS
TN
01
—
621714950
TAX ID
—
Enumeration date
12/02/2010
Last updated
04/03/2012
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