Provider Demographics
NPI:1609149558
Name:KEMM, MATTHEW HOLDSWORTH (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:HOLDSWORTH
Last Name:KEMM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3551 ROGER BROOKE DR
Mailing Address - Street 2:
Mailing Address - City:JBSA FT SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234-4504
Mailing Address - Country:US
Mailing Address - Phone:210-916-8589
Mailing Address - Fax:210-916-5222
Practice Address - Street 1:3551 ROGER BROOKE DR
Practice Address - Street 2:
Practice Address - City:JBSA FT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-4504
Practice Address - Country:US
Practice Address - Phone:210-916-8589
Practice Address - Fax:210-916-5222
Is Sole Proprietor?:No
Enumeration Date:2012-02-22
Last Update Date:2018-11-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE27507207RE0101X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine