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NPI Code Detail

MEDICARE: MISS BECKY L KEMP RPH

MEDICARE: MISS BECKY L KEMP RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist03215680OH

General Provider Information

NPI Number : 1649579988
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS BECKY L KEMP RPH
Provider Business Mailing Address
First Line : 4332 CLEVELAND AVE NW
Second Line :
City : CANTON
State : OH
Zip : 44709-2352
Country : US
Telephone Number : 330-649-9709
Fax Number : 330-491-0806
Provider Business Practice Location Address
First Line : 4332 CLEVELAND AVE NW
Second Line :
City : CANTON
State : OH
Zip : 44709-2352
Country : US
Telephone Number : 330-649-9709
Fax Number : 330-491-0806
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2011
Last Update Date : 03/25/2011

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Directions to “ MISS BECKY L KEMP RPH” Practice Location

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