Kemp, Glen J
Kemp, Glen J is an individual health care provider with primary practice located at 421 Camelot Dr , Fond Du Lac WI 54935-8335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kemp, Glen J can be contacted via phone (920) 926-8616.Contact Information
Primary practice address
421 Camelot Dr
Fond Du Lac WI 54935-8335
Phone: (920) 926-8616
Fax: (920) 926-8098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 32999 | Wisconsin |
Profile Details
| NPI number | 1205927282 |
|---|---|
| LBN Legal business name | Kemp, Glen J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Oct 21st, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205927282 | NPPES |
| Wisconsin | Other | P00861896 | RAILROAD MEDICARE |
| Wisconsin | MEDICAID | 31820000 | RAILROAD MEDICARE |
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