Provider Demographics
NPI:1376203729
Name:KEMPA, DAWN CHRISTINE (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:CHRISTINE
Last Name:KEMPA
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 FROST MILL RD
Mailing Address - Street 2:
Mailing Address - City:MILL NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11765-1101
Mailing Address - Country:US
Mailing Address - Phone:516-640-9029
Mailing Address - Fax:
Practice Address - Street 1:10 FROST MILL RD
Practice Address - Street 2:
Practice Address - City:MILL NECK
Practice Address - State:NY
Practice Address - Zip Code:11765-1101
Practice Address - Country:US
Practice Address - Phone:516-640-9029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-27
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY402230163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant