Provider Demographics
NPI:1194876805
Name:KEMP, EDGAR N III (DO)
Entity type:Individual
Prefix:DR
First Name:EDGAR
Middle Name:N
Last Name:KEMP
Suffix:III
Gender:M
Credentials:DO
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Mailing Address - Street 1:1605 SOUTH BALTIMORE
Mailing Address - Street 2:SUITE B
Mailing Address - City:KIRKSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63501
Mailing Address - Country:US
Mailing Address - Phone:660-665-3599
Mailing Address - Fax:660-665-3570
Practice Address - Street 1:1605 SOUTH BALTIMORE
Practice Address - Street 2:SUITE B
Practice Address - City:KIRKSVILLE
Practice Address - State:MO
Practice Address - Zip Code:63501
Practice Address - Country:US
Practice Address - Phone:660-665-3599
Practice Address - Fax:660-665-3570
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2021-09-23
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Provider Licenses
StateLicense IDTaxonomies
MO2006018907207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery