Provider Demographics
NPI:1235389750
Name:KEMPF MEDICAL MANAGEMENT, LLC
Entity Type:Organization
Organization Name:KEMPF MEDICAL MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:A
Authorized Official - Last Name:KEMPF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-488-7949
Mailing Address - Street 1:14331 CLEAR CREEK ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-4408
Mailing Address - Country:US
Mailing Address - Phone:210-488-7949
Mailing Address - Fax:
Practice Address - Street 1:14331 CLEAR CREEK ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-4408
Practice Address - Country:US
Practice Address - Phone:210-488-7949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-19
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK55792081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty