Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 19585 | NV |
N | 2080P0207X | Pediatric Hematology-Oncologist | G35851 | CA |
NPI | 1124035266 |
---|---|
Provider Name | Dr. Pamela Helen-Heilge Kempert |
First Address | Las Vegas, NV 89147-8465 |
Second Address | Las Vegas, NV 89135-3011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2006 |
Last Update Date | 19/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G358510 | (05) | CA |
100522958 | (05) | NV |
B55291 | (02) | CA |
GR0053510 | (05) | CA |