Individual
DR. EDNA FAYE KEMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5660 CAITO DR, BLDG 3 SUITE 130, INDIANAPOLIS, IN 46226-1372
(317) 545-5367
(317) 545-6230
Mailing address
5660 CAITO DR, BLDG 3 SUITE 130, INDIANAPOLIS, IN 46226-1372
(317) 545-5367
(317) 545-6230
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009358
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100118850
—
IN
Enumeration date
11/08/2006
Last updated
06/10/2008
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