Healthcare Provider Details

I. General information

NPI: 1508819673
Provider Name (Legal Business Name): DAVID B KEMP MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 1126
GRANBY CO
80446-1126
US

IV. Provider business mailing address

PO BOX 1126
GRANBY CO
80446-1126
US

V. Phone/Fax

Practice location:
  • Phone: 620-481-9927
  • Fax: 785-223-6611
Mailing address:
  • Phone: 620-481-9927
  • Fax: 785-223-6611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0429504
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: