Individual
GRAYSON KEMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5901 HARPER DR NE, ALBUQUERQUE, NM 87109-3587
(214) 538-7112
Mailing address
6132 ROSETREE PL NE, ALBUQUERQUE, NM 87111-7201
(214) 538-7112
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
67696
NM
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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