NPI | 1891049722 |
---|---|
Doing Business As | KEMP ROAD FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | TIMOTHY Y KO CFO 937-588-3208 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2012-10-30 |
Last Update Date | 2014-08-11 |