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1699281014 NPI number — JEREMY CRAIG KEMP

NPI Number: 1699281014
Health Care Provider/Practitioner: JEREMY CRAIG KEMP

Information about “1699281014” NPI (JEREMY CRAIG KEMP) exists in 1699281014 in HTML format HTML  |  1699281014 in plain Text format TXT  |  1699281014 in PDF (Portable Document Format) PDF  |  1699281014 in an XML format XML  formats.

NPI Number : 1699281014 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699281014",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KEMP",
    "FirstName": "JEREMY",
    "MiddleName": "CRAIG",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KEMP",
    "OtherFirstName": "JEREMY",
    "OtherMiddleName": "CRAIG",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": "LAT/ATC",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1292 MELTON DR SW",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LILBURN",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30047-1956",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-702-5997",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1292 MELTON DR SW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LILBURN",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30047-1956",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-702-5997",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/20/2017",
    "LastUpdateDate": "12/20/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": "2000021472",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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