Provider Demographics
NPI:1285812594
Name:KEMP DIABETIC SUPPLY
Entity type:Organization
Organization Name:KEMP DIABETIC SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KNOEBEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-662-5944
Mailing Address - Street 1:600 CAPITAL ST
Mailing Address - Street 2:UNIT E
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-6063
Mailing Address - Country:US
Mailing Address - Phone:561-748-5536
Mailing Address - Fax:
Practice Address - Street 1:600 CAPITAL ST
Practice Address - Street 2:UNIT E
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-6063
Practice Address - Country:US
Practice Address - Phone:561-748-5536
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2008-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies