Provider Demographics
NPI:1992871990
Name:KEMMET, JEFFREY TODD (DC)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:TODD
Last Name:KEMMET
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 1:215 LOVELAND MADEIRA RD
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-2511
Mailing Address - Country:US
Mailing Address - Phone:513-683-1052
Mailing Address - Fax:513-683-6226
Practice Address - Street 1:215 LOVELAND MADEIRA RD
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-2511
Practice Address - Country:US
Practice Address - Phone:513-683-1052
Practice Address - Fax:513-683-6226
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1570111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0861581Medicaid
OHKE0670952Medicare ID - Type Unspecified
OH0861581Medicaid