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Physician Compare National (NPI:1336159326)

HEALTHCARE PROVIDER: MARTHA ALLISON KEMP PH D

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1336159326
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0547235178
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20131028001810
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name KEMP
Individual professional last name
Provider First Name MARTHA
Individual professional first name
Provider Middle Name A
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.
Provider Credential Text PSY
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Individual professional's medical school
Graduation Year 1999
Individual professional's medical school graduation year
Primary Specialty PSYCHOLOGIST, CLINICAL
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 4131 NW 28TH LANE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 6
Group Practice or individual's line 2 address
City GAINESVILLE
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 326067432
Group Practice or individual's zip code (9 digits when available)
Phone Number 3523187150
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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