Provider Demographics
NPI:1518666403
Name:KEMP, RALPH BRIAN
Entity Type:Individual
Prefix:
First Name:RALPH
Middle Name:BRIAN
Last Name:KEMP
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E CUMBERLAND ST
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:KY
Mailing Address - Zip Code:42602-1206
Mailing Address - Country:US
Mailing Address - Phone:606-219-3019
Mailing Address - Fax:
Practice Address - Street 1:100 E CUMBERLAND ST
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:KY
Practice Address - Zip Code:42602-1206
Practice Address - Country:US
Practice Address - Phone:606-387-6444
Practice Address - Fax:606-387-8484
Is Sole Proprietor?:No
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician