Provider Demographics
NPI:1508819673
Name:KEMP, DAVID B (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:B
Last Name:KEMP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1126
Mailing Address - Street 2:
Mailing Address - City:GRANBY
Mailing Address - State:CO
Mailing Address - Zip Code:80446-1126
Mailing Address - Country:US
Mailing Address - Phone:620-481-9927
Mailing Address - Fax:785-223-6611
Practice Address - Street 1:PO BOX 1126
Practice Address - Street 2:
Practice Address - City:GRANBY
Practice Address - State:CO
Practice Address - Zip Code:80446-1126
Practice Address - Country:US
Practice Address - Phone:620-481-9927
Practice Address - Fax:785-223-6611
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0429504207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS067256OtherMEDICARE PTAN
KS100407480AMedicaid
KS067256OtherMEDICARE PTAN