Kemp, Jeffrey Alan

Kemp, Jeffrey Alan is an sole proprietor health care provider with primary practice located at 315 E San Marnan Dr , Waterloo IA 50702-5837. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kemp, Jeffrey Alan can be contacted via phone (319) 239-5009.

Contact Information

Primary practice address
315 E San Marnan Dr Waterloo IA 50702-5837
Phone: (319) 239-5009
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 02099 Iowa

Profile Details

NPI number 1881693372
LBN Legal business name Kemp, Jeffrey Alan
Credentials MS, PT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2005
Last updated Mar 23rd, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881693372 NPPES
Iowa MEDICAID 0274241
Iowa Other 421493296-01
Iowa Other 45190

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