Dewitt E. Kemp III, MD, LLC

Organization Active NPI Surgery Physician · Windber, PA

NPI 1659334357 · NPPES record last updated Sep 14, 2007

Key facts

NPI
1659334357
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
License
MD029007E (PA)
Legal business name
DEWITT E. KEMP III, MD, LLC
Practice address
609 Somerset Ave
Windber, PA 15963-1330
Phone
(814) 467-6074
Fax
(814) 467-0014
NPI assigned
Apr 11, 2006
Organization subpart
No

Authorized official

Name
Dewitt E Kemp, MD
Title
Physician
Phone
(814) 467-6074

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208600000X MD029007E PA Yes

Addresses

Primary practice location

609 Somerset Ave
Windber, PA 15963-1330

Mailing address

609 Somerset Ave
Windber, PA 15963-1330
Phone (814) 467-6074

Other identifiers

IdentifierTypeStateIssuer
413105OtherPAHIGHMARK
000912332001MedicaidPA

Other providers in Windber, PA

All providers in Windber, PA · Surgery Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.