Provider Demographics
NPI:1164573754
Name:KEMP CHIROPRACTIC, P.A.
Entity Type:Organization
Organization Name:KEMP CHIROPRACTIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:KEMP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:904-737-2350
Mailing Address - Street 1:4169 UNIVERSITY BLVD S
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-4316
Mailing Address - Country:US
Mailing Address - Phone:904-737-2350
Mailing Address - Fax:904-737-7111
Practice Address - Street 1:4169 UNIVERSITY BLVD S
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-4316
Practice Address - Country:US
Practice Address - Phone:904-737-2350
Practice Address - Fax:904-737-7111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH00001534111N00000X
FLCH00007780111N00000X, 111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL72157OtherGROUP#BLUE CROSS BLSHIELD
FLPOO293084OtherRAILROAD MEDICARE
FL89282OtherBLUE CROSS BLUE SHIELD(F)
FL89940OtherBLUE CROSS BLUE SHIELD(D)
FLDE4435OtherRAILROAD MEDICARE GROUP#
FLT56160Medicare UPIN
FL72157OtherGROUP#BLUE CROSS BLSHIELD
FL89282OtherBLUE CROSS BLUE SHIELD(F)
FLDE4435OtherRAILROAD MEDICARE GROUP#
FLU6231ZMedicare ID - Type UnspecifiedCHIROPRACTIC(DAVID)