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NPI Code Detail

MEDICARE: EARL D KEMP MD

MEDICARE:   EARL D 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
1207Q00000XFamily Medicine Physician1077SD

Other Identifiers

General Provider Information

NPI Number : 1134191547
Entity Type Code : Individual
Provider Name (Legal Business Name) : EARL D KEMP MD
Provider Business Mailing Address
First Line : 1115 E 20TH ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57105-1013
Country : US
Telephone Number : 605-339-1783
Fax Number : 605-367-7157
Provider Business Practice Location Address
First Line : 1115 E 20TH ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57105-1013
Country : US
Telephone Number : 605-339-1783
Fax Number : 605-367-7157
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 01/29/2008

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Directions to “ EARL D KEMP MD” Practice Location

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