Roger  W  Kemp    MD
Contract Details
Central Alabama Pain Management Center
Facility name
Provider ID
P000007781
NPI
1104984624
Tax ID
631100740
Effective Date
4/25/2014
Last Updated
5/31/2016
Direct Contract
Yes
Term Date
3/1/2016
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
106.00
Fee Schedule Multiplier
Location Details
Address
1709 Forest Avenue
Montgomery, AL 36106
United States
County
Montgomery
Phone
3342643302 (Phone)
Billing Details
Address
P.O. Box 241544
Montgomery, AL 36124
Billing Phone
3342643302
Specialty Type
Pain Medicine
Map
Address