Basic Information
| Provider Information | |||||||||
| NPI: | 1497766463 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KEMP | ||||||||
| FirstName: | DENISE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | CRNA, MS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3 CANTERBURY WAY | ||||||||
| Address2: | |||||||||
| City: | FARMINGDALE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 077273869 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7327511940 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 150 BERGEN ST | ||||||||
| Address2: | |||||||||
| City: | NEWARK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 071032496 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9739727867 | ||||||||
| FaxNumber: | 9739722357 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/11/2006 | ||||||||
| LastUpdateDate: | 03/13/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 26N010690300 | NJ | Y | Other Service Providers | Specialist |
No ID Information.