Provider Demographics
NPI:1083627939
Name:KEMPLER, NORMAN A (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:A
Last Name:KEMPLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6708 POST RD
Mailing Address - Street 2:
Mailing Address - City:FT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46814-9404
Mailing Address - Country:US
Mailing Address - Phone:260-672-2799
Mailing Address - Fax:
Practice Address - Street 1:3124 E STATE BLVD
Practice Address - Street 2:SUITE 4A
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46805-4798
Practice Address - Country:US
Practice Address - Phone:260-482-2312
Practice Address - Fax:260-483-3570
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01021519A207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100351530AMedicaid
INB28090Medicare UPIN
IN100351530AMedicaid
IN0547900001Medicare NSC