Kemp, Olan Baxter
Kemp, Olan Baxter is an individual health care provider with primary practice located at 4275 Western Blvd , Jacksonville NC 28546-1100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kemp, Olan Baxter can be contacted via phone (910) 938-3099.Contact Information
Primary practice address
4275 Western Blvd
Jacksonville NC 28546-1100
Phone: (910) 938-3099
Fax: (910) 938-3243
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD23535 | Tennessee |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2021-01888 | North Carolina |
Profile Details
| NPI number | 1538265749 |
|---|---|
| LBN Legal business name | Kemp, Olan Baxter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Jun 3rd, 2021 - 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 | 1538265749 | NPPES |
| Tennessee | MEDICAID | 1511077 | |
| Tennessee | Other | TN0106 | |
| Tennessee | Other | 4139154 | |
| Tennessee | MEDICAID | 3096800 | |
| Tennessee | MEDICAID | 3096807 | |
| Tennessee | Other | 4184953 |
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