Individual
JEFFREY ALAN KEMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, PT
Contact information
Practice address
315 E SAN MARNAN DR, WATERLOO, IA 50702-5837
(319) 239-5009
Mailing address
315 E SAN MARNAN DR, WATERLOO, IA 50702-5837
(319) 239-5009
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02099
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0274241
—
IA
01
—
421493296-01
JOHN DEERE PROVIDER ID
IA
01
—
45190
BLUE CROSS BLUE SHIELD ID
IA
Enumeration date
07/18/2005
Last updated
03/23/2012
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