NPI 1679233118

Sundance Zxaine Kemp, CAA

Practitioner Anesthesiologist Assistant Muncie, IN

Practice location

Address: 2401 W University Ave, Muncie, IN 47303-3499
Phone: (765) 747-3111
Mailing address: 250 N Shadeland Ave, Indianapolis, IN 46219-4959

Registered specialties (3)

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 75000098A (IN)

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Anesthesiologist Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence TL95 (SC)

Anesthesiologist Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X

Registry record

NPI: 1679233118
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Dec 2021
Record last updated: 29 Aug 2023

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.