MEDICARE: MRS. ASIA 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
1	363L00000X	Nurse Practitioner	SP023904	PA

General Provider Information

NPI Number	:	1336719954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ASIA KEMP

Provider Business Mailing Address
First Line	:	1900 N 9TH ST STE 104
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19122-2028
Country	:	US
Telephone Number	:	215-765-6690
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 N 9TH ST STE 104
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19122-2028
Country	:	US
Telephone Number	:	215-765-6690
Fax Number	:	215-765-6694

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

Provider Enumeration Date	:	06/27/2021
Last Update Date	:	04/27/2023

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Directions to “ MRS. ASIA KEMP ” Practice Location

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