Kemp, Stacie

Kemp, Stacie is an individual health care provider with primary practice located at 325 Illinois Rt 2 , Dixon IL 61021-9118. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kemp, Stacie can be contacted via phone (815) 284-6611.

Contact Information

Primary practice address
325 Illinois Rt 2 Dixon IL 61021-9118
Phone: (815) 284-6611
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149010053 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7369-123 Wisconsin

Profile Details

NPI number 1710361183
LBN Legal business name Kemp, Stacie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2015
Last updated Jul 16th, 2015 - about 10 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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