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NPI Code Detail

MEDICARE: KRISTIAN KEMP MD

MEDICARE: KRISTIAN 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
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician5912000-1205UT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000006709OTHERUTMEDICARE GROUP #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154381689
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIAN KEMP MD
Provider Business Mailing Address
First Line : 370 E SOUTH TEMPLE STE 260
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84111-1290
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5475 S 500 E
Second Line :
City : OGDEN
State : UT
Zip : 84405-6905
Country : US
Telephone Number : 801-479-2111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2006
Last Update Date : 04/14/2026

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Directions to “ KRISTIAN KEMP MD” Practice Location

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