Basic Information
| Provider Information | |||||||||
| NPI: | 1184109654 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KEMP | ||||||||
| FirstName: | LEMUEL | ||||||||
| MiddleName: | WAYNE | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 108 HAMBLEN BLVD | ||||||||
| Address2: | |||||||||
| City: | PALMER | ||||||||
| State: | TX | ||||||||
| PostalCode: | 751528239 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2149081455 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2203 W LAMPASAS ST STE 205 | ||||||||
| Address2: | |||||||||
| City: | ENNIS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 751195668 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9728756200 | ||||||||
| FaxNumber: | 9728756414 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/01/2018 | ||||||||
| LastUpdateDate: | 10/01/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | AP138919 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.