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NPI Code Detail

MEDICARE: JENNA L KEMP

MEDICARE:   JENNA L KEMP
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
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1093599185
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA L KEMP
Provider Business Mailing Address
First Line : 14400 BOGERT PKWY
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73134-2652
Country : US
Telephone Number : 316-519-6278
Fax Number :
Provider Business Practice Location Address
First Line : 14400 BOGERT PKWY
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73134-2652
Country : US
Telephone Number : 316-519-6278
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2023
Last Update Date : 11/07/2023

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Directions to “ JENNA L KEMP ” Practice Location

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