Krystal Juanise Kemp, LCSW
Social Worker, Clinical in Kansas City, MO. Individual provider (NPI-1).
NPI number1760623680
StatusActive
Last updated in NPPESJun 1, 2022
Details
- NPI
- 1760623680
- Entity type
- Individual (NPI-1)
- Name
- Krystal Juanise Kemp
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2009
- Certification date
- Jun 1, 2022
- Last updated
- Jun 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 05575 | KS | Yes |
| 172V00000X | Community Health Worker | – | – |
Practice location
1800 E Truman RdKansas City, MO 64127-1938
Phone 816-404-6301 · Fax 816-404-6318
Mailing address
1800 E Truman RdKansas City, MO 64127-1938
Phone 816-404-6301 · Fax 816-404-6318
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