Provider Demographics
NPI:1093101693
Name:KEMP, NATONYA (CCHT)
Entity Type:Individual
Prefix:
First Name:NATONYA
Middle Name:
Last Name:KEMP
Suffix:
Gender:F
Credentials:CCHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 PINE VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-3706
Mailing Address - Country:US
Mailing Address - Phone:404-484-9975
Mailing Address - Fax:678-352-9315
Practice Address - Street 1:1280 PINE VALLEY CT
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-3706
Practice Address - Country:US
Practice Address - Phone:404-484-9975
Practice Address - Fax:678-352-9315
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-09
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2472R0900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherRenal Dialysis