Provider Demographics
NPI:1215199732
Name:KEMPIENSKI, VIENGCHAI
Entity Type:Individual
Prefix:
First Name:VIENGCHAI
Middle Name:
Last Name:KEMPIENSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BAN SAILOM
Mailing Address - Street 2:
Mailing Address - City:VIENTIANE
Mailing Address - State:CAPITAL
Mailing Address - Zip Code:10001
Mailing Address - Country:LA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2635 37TH AVE N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-1731
Practice Address - Country:US
Practice Address - Phone:727-528-0936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN1136581164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse