Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 9190988 | FL |
NPI | 1003328220 |
---|---|
Provider Name | Joanne Kay Kemp |
First Address | Ocala, FL 34472-6294 |
Second Address | Ocala, FL 34472-6294 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2017 |
Last Update Date | 27/10/2017 |