Provider Demographics
NPI:1649747098
Name:SALZWEDEL KEMP, ANGIE C
Entity Type:Individual
Prefix:
First Name:ANGIE
Middle Name:C
Last Name:SALZWEDEL KEMP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 MAIN ST STE 607
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97601-5800
Mailing Address - Country:US
Mailing Address - Phone:541-591-1946
Mailing Address - Fax:541-887-8184
Practice Address - Street 1:905 MAIN ST ST 607
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601
Practice Address - Country:US
Practice Address - Phone:541-591-1946
Practice Address - Fax:541-591-1946
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-24
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other