| Susan E. Kemp, Md, Llc | |
|
1801 Fairfield Ave Suite #304 Shreveport LA 71101 | |
| (318) 212-0412 | |
| (318) 212-0416 |
| Full Name | Susan E. Kemp, Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1801 Fairfield Ave, Shreveport, Louisiana |
| Authorized Official Name and Position | Susan E Kemp (MD) |
| Authorized Official Contact | 3182120412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan E. Kemp, Md, Llc 1801 Fairfield Ave. Suite #304 Shreveport LA 71101 Ph: (318) 212-0412 | Susan E. Kemp, Md, Llc 1801 Fairfield Ave Suite #304 Shreveport LA 71101 Ph: (318) 212-0412 |
| NPI Number | 1801805957 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 01/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801805957 | NPI | - | NPPES |
| 1578398 | Medicaid | LA | |
| 1807567 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 024797 (Louisiana) | Primary |
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