Provider Demographics
NPI:1053756866
Name:ZEMP, KATHRYN VAUGHN
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:VAUGHN
Last Name:ZEMP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1960 JANE EDWARDS RD
Mailing Address - Street 2:
Mailing Address - City:EDISTO ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29438-6504
Mailing Address - Country:US
Mailing Address - Phone:843-869-4805
Mailing Address - Fax:849-869-0627
Practice Address - Street 1:1960 JANE EDWARDS RD
Practice Address - Street 2:
Practice Address - City:EDISTO ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29438-6504
Practice Address - Country:US
Practice Address - Phone:843-869-4805
Practice Address - Fax:843-869-0627
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-07
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC29830163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool