Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 11977 | TX |
Y | 111NN0400X | Neurology | 002133 | CT |
NPI | 1295008407 |
---|---|
Provider Name | Dr. Thomas Leonard Kempinski JR. |
First Address | Clinton, CT 06413-2226 |
Second Address | Westbrook, CT 06498-3902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2012 |
Last Update Date | 11/01/2019 |