Provider Demographics
NPI:1467097972
Name:KEMP, VERA MARIE (LVN)
Entity Type:Individual
Prefix:
First Name:VERA
Middle Name:MARIE
Last Name:KEMP
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2210 14TH ST
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:TX
Mailing Address - Zip Code:76384
Mailing Address - Country:US
Mailing Address - Phone:940-414-1379
Mailing Address - Fax:
Practice Address - Street 1:2210 14TH ST
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:TX
Practice Address - Zip Code:76384
Practice Address - Country:US
Practice Address - Phone:940-414-1379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-08
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX218235163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse