Kemble, Mark Allen

Kemble, Mark Allen is an individual health care provider with primary practice located at 245 Parkway E , Duncan SC 29334-9489. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kemble, Mark Allen can be contacted via phone (864) 661-1539.

Contact Information

Primary practice address
245 Parkway E Duncan SC 29334-9489
Phone: (864) 661-1539
Fax: (864) 641-6647
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15479 South Carolina

Profile Details

NPI number 1457389637
LBN Legal business name Kemble, Mark Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Apr 14th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457389637 NPPES
South Carolina Other 571004971012 BCBS OF SC
South Carolina Other 80109540 BCBS OF SC
South Carolina Other 4394471 BCBS OF SC
South Carolina Other 9576433 BCBS OF SC
South Carolina MEDICAID 154790 BCBS OF SC

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