NPI 1235388125

Christopher Charles Kemp, PA

Practitioner Physician Assistant South Boston, VA

Practice location

Address: 2204 Wilborn Ave, South Boston, VA 24592-1645
Phone: (434) 517-3100
Fax: (434) 517-3626
Mailing address: 4420 Lake Boone Trl, Raleigh, NC 27607-7505

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 0110002880 (VA)

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Registry record

NPI: 1235388125
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Sep 2008
Record last updated: 29 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.