Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | CH-00007780 | FL |
NPI | 1255518098 |
---|---|
Provider Name | Dr. David E Kemp |
First Address | Jacksonville, FL 32211-7011 |
Second Address | Jacksonville, FL 32216-4316 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2008 |
Last Update Date | 23/01/2008 |