MEDICARE: ARNOLD MICHAEL KEMP MD

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
1	207R00000X	Internal Medicine Physician	ME95053	FL
2	207R00000X	Internal Medicine Physician	01047261A	IN
3	208M00000X	Hospitalist Physician	01047261A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P01017949	OTHER		MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000749287	OTHER	IN	ANTHEM TRADITIONAL
2	616679523	OTHER		DEPARTMENT OF LABOR
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134111552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARNOLD MICHAEL KEMP MD

Provider Business Mailing Address
First Line	:	PO BOX 781076
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48278-7241
Country	:	US
Telephone Number	:	317-528-4800
Fax Number	:	317-865-1479

Provider Business Practice Location Address
First Line	:	12750 ST FRANCIS DR
Second Line	:
City	:	CROWN POINT
State	:	IN
Zip	:	46307-0264
Country	:	US
Telephone Number	:	219-757-6121
Fax Number	:	219-681-6897

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	01/12/2024

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Directions to “ ARNOLD MICHAEL KEMP MD” Practice Location

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