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NPI Code Detail

MEDICARE: MICHAEL W KEMP MS

MEDICARE: MICHAEL W KEMP MS
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
1231H00000XAudiologistAU1640CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669533030
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL W KEMP MS
Provider Business Mailing Address
First Line : 2620 HURLEY WAY STE B
Second Line :
City : SACRAMENTO
State : CA
Zip : 95864-3789
Country : US
Telephone Number : 916-483-9064
Fax Number : 916-483-3514
Provider Business Practice Location Address
First Line : 2620 HURLEY WAY STE B
Second Line :
City : SACRAMENTO
State : CA
Zip : 95864-3789
Country : US
Telephone Number : 916-483-9064
Fax Number : 916-483-3514
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 07/08/2007

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