Provider Demographics
NPI:1295852663
Name:KEMPEL ENTEPRISES, INC
Entity Type:Organization
Organization Name:KEMPEL ENTEPRISES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:L
Authorized Official - Last Name:KEMPEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-235-0912
Mailing Address - Street 1:PO BOX 187
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:IL
Mailing Address - Zip Code:61032-0187
Mailing Address - Country:US
Mailing Address - Phone:815-235-0912
Mailing Address - Fax:815-235-0905
Practice Address - Street 1:3155 US RT 20
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:IL
Practice Address - Zip Code:61032
Practice Address - Country:US
Practice Address - Phone:815-235-0912
Practice Address - Fax:815-235-0905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL576450Medicare ID - Type Unspecified