Provider Demographics
NPI:1700816246
Name:HARP, KEMBERLY E (APRNBC)
Entity Type:Individual
Prefix:
First Name:KEMBERLY
Middle Name:E
Last Name:HARP
Suffix:
Gender:F
Credentials:APRNBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 FORT SANDERS WEST BLVD
Mailing Address - Street 2:SUITE 107 MOBI
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3357
Mailing Address - Country:US
Mailing Address - Phone:865-670-1003
Mailing Address - Fax:865-670-1004
Practice Address - Street 1:200 FORT SANDERS WEST BLVD
Practice Address - Street 2:SUITE 107 MOBI
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3357
Practice Address - Country:US
Practice Address - Phone:865-670-1003
Practice Address - Fax:865-670-1004
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN 0000077708207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine