Provider Demographics
NPI:1184679037
Name:KEMP, AARON W (MD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:W
Last Name:KEMP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4545 E CHANDLER BLVD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-7643
Mailing Address - Country:US
Mailing Address - Phone:480-961-2366
Mailing Address - Fax:480-961-2367
Practice Address - Street 1:4545 E CHANDLER BLVD
Practice Address - Street 2:SUITE 304
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048-7643
Practice Address - Country:US
Practice Address - Phone:480-961-2366
Practice Address - Fax:480-961-2367
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ29071207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZA04875Medicare UPIN