Provider Demographics
NPI:1063099851
Name:KEMPF, PATRICIA ELLEN
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ELLEN
Last Name:KEMPF
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 1:10096 REGATTA TRL
Mailing Address - Street 2:
Mailing Address - City:REMINDERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44202-9079
Mailing Address - Country:US
Mailing Address - Phone:330-283-4501
Mailing Address - Fax:
Practice Address - Street 1:10096 REGATTA TRL
Practice Address - Street 2:
Practice Address - City:REMINDERVILLE
Practice Address - State:OH
Practice Address - Zip Code:44202-9079
Practice Address - Country:US
Practice Address - Phone:330-283-4501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-26
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider