Doctor Name: | AMY BETH KEMP |
NPI Number: | 1265794812 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP012008 |
Business Practice Address: | 1241 Blakeslee Boulevard Dr E Lehighton, PA - 182352401 |
Business Phone Number: | 5703866900 |
Business Fax Number: | |
Mailing Address: | 1241 Blakeslee Boulevard Dr E, LEHIGHTON |
State: | PA |
Postal Code: | 182352401 |
Phone Number: | 5703866900 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2012 |
NPI Last Update Date: | 09/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP012008 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |