Alicia Marie Osterman Kemp
Pediatrician
8450 Seasons Pkwy
Woodbury
, Minnesota 55125-4402
Alicia Marie Osterman Kemp
Pediatrician
8450 Seasons Pkwy
Woodbury
, Minnesota 55125-4402
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Alicia Marie Osterman Kemp
- 8170 33rd Ave S # Ms 21110q
- Minneapolis, MN
- Zip : 55425-4516
- Phone :
Second Address
- Alicia Marie Osterman Kemp
- 8450 Seasons Pkwy
- Woodbury, MN
- Zip : 55125-4402
- Fax : (651) 702-5305
- Phone : (651) 702-5300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 63236 | MN |
National Provider Identifier
| NPI | 1003293325 |
|---|---|
| Provider Name | Alicia Marie Osterman Kemp |
| First Address | Minneapolis, MN 55425-4516 |
| Second Address | Woodbury, MN 55125-4402 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/05/2015 |
| Last Update Date | 19/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 63236 | MINNESOTA MEDICAL LICENSE NUMBER (01) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.