Kemp, Mark Wells

Kemp, Mark Wells is an individual health care provider with primary practice located at 9249 W Lake City Rd , Houghton Lake MI 48629-9602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kemp, Mark Wells can be contacted via phone (989) 422-5122.

Contact Information

Primary practice address
9249 W Lake City Rd Houghton Lake MI 48629-9602
Phone: (989) 422-5122
Fax: (989) 422-4378
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101010415 Michigan

Profile Details

NPI number 1053365064
LBN Legal business name Kemp, Mark Wells
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jul 5th, 2012 - about 13 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 1053365064 NPPES
Michigan MEDICAID 4877859
Michigan MEDICAID 3381662
Michigan MEDICAID 3494728
Michigan MEDICAID 3409754
Michigan MEDICAID 4183150
Michigan MEDICAID 4878533

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