Provider Demographics
NPI:1104150960
Name:KEMP, JANSON WILLIAM (DC)
Entity type:Individual
Prefix:DR
First Name:JANSON
Middle Name:WILLIAM
Last Name:KEMP
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:968 W SOUTH JORDAN PKWY
Mailing Address - Street 2:STE B
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-8817
Mailing Address - Country:US
Mailing Address - Phone:801-302-1362
Mailing Address - Fax:
Practice Address - Street 1:968 W SOUTH JORDAN PKWY
Practice Address - Street 2:STE B
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-8817
Practice Address - Country:US
Practice Address - Phone:801-302-1362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-28
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11172111N00000X
UT9000437-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor