Provider Demographics
NPI:1003317819
Name:KEMPER, RACHEL RUTH (RN)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:RUTH
Last Name:KEMPER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:150 COUNTY ROAD 224
Mailing Address - Street 2:
Mailing Address - City:SEAGRAVES
Mailing Address - State:TX
Mailing Address - Zip Code:79359-4006
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:150 COUNTY ROAD 224
Practice Address - Street 2:
Practice Address - City:SEAGRAVES
Practice Address - State:TX
Practice Address - Zip Code:79359-4006
Practice Address - Country:US
Practice Address - Phone:512-318-9030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-27
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX774581163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse