Provider Demographics
NPI:1972572873
Name:KEMPF, MARY J (CNM)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:J
Last Name:KEMPF
Suffix:
Gender:
Credentials:CNM
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:J
Other - Last Name:LEVINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:1825 WOODWINDS DR STE 200
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-2202
Mailing Address - Country:US
Mailing Address - Phone:612-273-7111
Mailing Address - Fax:
Practice Address - Street 1:1825 WOODWINDS DR STE 200
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-2202
Practice Address - Country:US
Practice Address - Phone:612-273-7111
Practice Address - Fax:651-232-0155
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNP51288Medicare UPIN