Provider Demographics
NPI:1558540765
Name:KEMPTON, AMY
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:KEMPTON
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 1:1984 1/2 SIMMONS RD
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95503-6563
Mailing Address - Country:US
Mailing Address - Phone:707-672-4656
Mailing Address - Fax:
Practice Address - Street 1:1984 1/2 SIMMONS RD
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95503-6563
Practice Address - Country:US
Practice Address - Phone:707-672-4656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-24
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist