Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | J5373 | TX |
NPI | 1003895020 |
---|---|
Provider Name | Kevin J Kempf |
First Address | San Antonio, TX 78258-3371 |
Second Address | San Antonio, TX 78258-3371 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2006 |
Last Update Date | 21/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0043MQ | BCBS (01) | TX |
138842315 | (05) | TX |
174533301 | (05) | TX |
852550 | BCBS (01) | TX |
F73985 | (02) |