Provider Demographics
NPI:1154169837
Name:KEMP, ANDREW (CCP)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:KEMP
Suffix:
Gender:M
Credentials:CCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2250 MCGREGOR BLVD STE 3300
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-3446
Mailing Address - Country:US
Mailing Address - Phone:189-203-9246
Mailing Address - Fax:
Practice Address - Street 1:2250 MCGREGOR BLVD STE 3300
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901-3446
Practice Address - Country:US
Practice Address - Phone:189-203-9246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes242T00000XTechnologists, Technicians & Other Technical Service ProvidersPerfusionist