Individual
KATHERINE KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D3295
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00H648
GROUP MEDICARE PTAN
—
05
—
101151201
—
TX
01
—
1972539492
TYPE 2 NPI - GROUP
TX
01
—
300023072
RR MEDICARE
—
01
—
819819
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
01/03/2006
Last updated
12/16/2010
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