Candace Kemp, | |
1440 Central Ave E, Wiggins, MS 39577-9602 | |
(601) 928-6700 | |
(601) 928-6731 |
Full Name | Candace Kemp |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 1440 Central Ave E, Wiggins, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063154326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT-0227 (Mississippi) | Primary |
Provider Name | Memorial Hospital At Gulfport |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
Mailing Address | Practice Location Address |
---|---|
Candace Kemp, Po Box 1810, Gulfport, MS 39502-1810 Ph: (228) 575-1194 | Candace Kemp, 1440 Central Ave E, Wiggins, MS 39577-9602 Ph: (601) 928-6700 |
Devon D Hand, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Simpson St, Wiggins, MS 39577 Phone: 601-528-1634 | |
Taylor Nicole Lusk, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1436 Central Ave E, Wiggins, MS 39577 Phone: 601-928-1889 | |
Brittney Mahoney, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 711 Hall St, Wiggins, MS 39577 Phone: 601-928-5511 Fax: 601-928-6110 | |
Mrs. Carly Anne Nichols, OTD OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1601 Central Ave W, Wiggins, MS 39577 Phone: 601-716-3196 Fax: 601-974-9919 | |
Kelsea Rodriguez, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1601 Central Ave W, Wiggins, MS 39577 Phone: 601-716-3196 | |
Ashton Hermetz Kramer, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1440 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6700 |