Individual
SEAN THOMAS KEMPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4855 W. ARROWHEAD ROAD, DULUTH CLINIC-HERMANTOWN, HERMANTOWN, MN 55811
(218) 786-3540
Mailing address
4855 W. ARROWHEAD ROAD, DULUTH CLINIC-HERMANTOWN, HERMANTOWN, MN 55811
(218) 786-3540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48660
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0125489
MEDICA
—
01
—
162H6KE
BCBSMN
—
05
—
813470000
—
MN
01
—
P00440551
RR MEDICARE PTAN
—
Enumeration date
07/28/2006
Last updated
03/04/2015
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