Individual
BRADY KEMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 470-6186
Mailing address
PO BOX 15609, DURHAM, NC 27704-0609
(919) 384-0200
(919) 384-0600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
130302
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052765
—
NC
Enumeration date
09/28/2006
Last updated
10/09/2008
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