Provider Demographics
NPI:1134320088
Name:KEMPSKI, SONJA (LMT)
Entity Type:Individual
Prefix:
First Name:SONJA
Middle Name:
Last Name:KEMPSKI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1777 SE 15TH ST APT 308
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-3024
Mailing Address - Country:US
Mailing Address - Phone:954-336-6978
Mailing Address - Fax:
Practice Address - Street 1:1777 SE 15TH ST APT 308
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-3024
Practice Address - Country:US
Practice Address - Phone:954-336-6978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 19303174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist