Basic Information
Provider Information
NPI: 1477938637
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KEMP
FirstName: JAMES
MiddleName: C
NamePrefix:  
NameSuffix:  
Credential: PA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 936
Address2:  
City: LONDON
State: KY
PostalCode: 407430936
CountryCode: US
TelephoneNumber: 6063307818
FaxNumber: 6063307825
Practice Location
Address1: 1401 HARRODSBURG RD STE A300
Address2: KENTUCKYONE HEALTH MEDICAL GROUP-PULMONARY ASSOCIATES
City: LEXINGTON
State: KY
PostalCode: 405043787
CountryCode: US
TelephoneNumber: 8593134744
FaxNumber: 8582765939
Other Information
ProviderEnumerationDate: 07/29/2015
LastUpdateDate: 08/02/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000XTC387KYY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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