Provider Demographics
NPI:1093890337
Name:KEMPS, LAURA M (DC)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:M
Last Name:KEMPS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:M
Other - Last Name:BRAUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2200 S KENSINGTON DRIVE
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54915
Mailing Address - Country:US
Mailing Address - Phone:920-738-0200
Mailing Address - Fax:920-738-0383
Practice Address - Street 1:2200 S KENSINGTON DR
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54915-4144
Practice Address - Country:US
Practice Address - Phone:920-738-0200
Practice Address - Fax:920-738-0383
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3616012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
000535255Medicare ID - Type Unspecified
U80715Medicare UPIN