Provider Demographics
NPI:1124405642
Name:KERN, TARA ZEMPEL (DC)
Entity Type:Individual
Prefix:DR
First Name:TARA
Middle Name:ZEMPEL
Last Name:KERN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:TARA
Other - Middle Name:NICOLE
Other - Last Name:ZEMPEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3720 FARRAGUT AVE STE 401
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-2140
Mailing Address - Country:US
Mailing Address - Phone:240-242-3444
Mailing Address - Fax:240-669-8853
Practice Address - Street 1:3720 FARRAGUT AVE STE 401
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2140
Practice Address - Country:US
Practice Address - Phone:240-242-3444
Practice Address - Fax:240-669-8853
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-05
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0126821111N00000X
MDS03946111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor