Kemp, Nicole

Kemp, Nicole is an individual health care provider with primary practice located at 202 S Park St , Madison WI 53715-1507. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Kemp, Nicole can be contacted via phone (608) 417-8250.

Contact Information

Primary practice address
202 S Park St Madison WI 53715-1507
Phone: (608) 417-8250
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10377-024 Wisconsin

Profile Details

NPI number 1417015736
LBN Legal business name Kemp, Nicole
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Dec 31st, 2014 - about 12 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 1417015736 NPPES
Wisconsin MEDICAID 100022314

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