Provider Demographics
NPI:1407093701
Name:KEMPER, JULIE THERESA (RNC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:THERESA
Last Name:KEMPER
Suffix:
Gender:F
Credentials:RNC
Other - Prefix:MRS
Other - First Name:JULIE
Other - Middle Name:THERESA
Other - Last Name:QUALLS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RNC
Mailing Address - Street 1:280 EXEMPLA CIR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-3370
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:280 EXEMPLA CIR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-3370
Practice Address - Country:US
Practice Address - Phone:720-480-6060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO122579163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory