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General NPI Number Information
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NPI Number | 1811319544
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Entity Type | Organization
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Legal Business Name | KEMP FAMILY CHIROPRACTIC PC
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Dates
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Enumeration Date | 01/15/2014
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Last Update Date | 01/15/2014
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Provider Practice Location Address
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Address Line | 11 E 31ST ST
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City | KEARNEY
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State | NE
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Zip | 68847-2912
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Country | US
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Telephone | 308-234-1700
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Fax | 308-234-3387
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Provider Business Mailing Address
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Address Line | 11 E 31ST ST
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City | KEARNEY
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State | NE
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Zip | 68847-2912
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Country | US
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Telephone | 308-234-1700
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Fax | 308-234-3387
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Authorized Official
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Title or Position | OWNER
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Name | MR. TRAVIS J KEMP
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Credential | DC
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Telephone | 308-234-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1252
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License Number State | NE
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