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NPI Code Detail

MEDICARE: DR. DAVID ELIOT KEMP M.D.

MEDICARE: DR. DAVID ELIOT KEMP M.D.
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
1207P00000XEmergency Medicine PhysicianME72557FL
2207Q00000XFamily Medicine PhysicianME72557FL

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 : 1912917063
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID ELIOT KEMP M.D.
Provider Business Mailing Address
First Line : PO BOX 100371
Second Line :
City : GAINESVILLE
State : FL
Zip : 32610-0371
Country : US
Telephone Number : 352-338-2195
Fax Number : 352-265-0627
Provider Business Practice Location Address
First Line : 922 E CALL ST
Second Line :
City : STARKE
State : FL
Zip : 32091-3616
Country : US
Telephone Number : 904-368-2300
Fax Number : 904-368-2306
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2006
Last Update Date : 03/17/2020

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