Individual
MBOKA CHEYO KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6308 FIVE MILE CENTRE PARK STE 219, FREDERICKSBURG, VA 22407-5508
(540) 642-0883
Mailing address
22 TANKARD RD, STAFFORD, VA 22554-6548
(281) 772-9370
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024191323
VA
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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