Individual
SUSAN ELIZABETH KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1460 E BERT KOUNS INDUSTRIAL LOOP, SUITE 700, SHREVEPORT, LA 71105-5644
(318) 681-5580
(318) 681-5280
Mailing address
919 HIDDEN RDG, IRVING, TX 75038-3813
(469) 282-2711
(469) 282-0996
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
024797
LA
207R00000X
Internal Medicine Physician
L4487
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152646901
—
TX
05
—
1578398
—
LA
Enumeration date
11/28/2005
Last updated
01/16/2017
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