MEDICARE: RALPH BRIAN 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	183700000X	Pharmacy Technician

General Provider Information

NPI Number	:	1518666403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RALPH BRIAN KEMP

Provider Business Mailing Address
First Line	:	100 E CUMBERLAND ST
Second Line	:
City	:	ALBANY
State	:	KY
Zip	:	42602-1206
Country	:	US
Telephone Number	:	606-219-3019
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 E CUMBERLAND ST
Second Line	:
City	:	ALBANY
State	:	KY
Zip	:	42602-1206
Country	:	US
Telephone Number	:	606-387-6444
Fax Number	:	606-387-8484

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

Provider Enumeration Date	:	02/28/2023
Last Update Date	:	02/28/2023

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Directions to “ RALPH BRIAN KEMP ” Practice Location

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