Provider Demographics
NPI:1699980854
Name:KEMP, JAMIE D (MD)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:D
Last Name:KEMP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 950248
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40295-0248
Mailing Address - Country:US
Mailing Address - Phone:502-489-5730
Mailing Address - Fax:502-489-5753
Practice Address - Street 1:3900 KRESGE WAY
Practice Address - Street 2:60
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4660
Practice Address - Country:US
Practice Address - Phone:502-893-7710
Practice Address - Fax:502-893-1884
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RILP00332207R00000X
KY41220207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100008700Medicaid
KY000000530062OtherANTHEM- NORTON
KYP00439737OtherRAILROAD MEDICARE KY
KYTP403OtherTEMPORARY KY LICENSE
KY2861329000OtherPASSPORT ADVANTAGE NORTON
KY41220OtherPERMANENT LICENSE
KY50015913OtherPASSPORT
KY089082OtherSIHO- NORTON
KY000023028POtherHUMANA- NORTON
IN200881300OtherMEDICAID IN- NORTON INPATIENT SPECIALISTS
KY2993781OtherCIGNA- NORTON
KY611276316-040OtherTRICARE- NORTON
RILP00332OtherLIMITED PHYSICIAN LICENSE
KY2993781OtherCIGNA- NORTON
KY0998882Medicare PIN