Provider Demographics
NPI:1407874613
Name:KEMPF, GREGORY G (DC)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:G
Last Name:KEMPF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 EUCLID AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-2231
Mailing Address - Country:US
Mailing Address - Phone:216-522-0300
Mailing Address - Fax:216-522-0420
Practice Address - Street 1:401 EUCLID AVE STE 140
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-2231
Practice Address - Country:US
Practice Address - Phone:216-522-0300
Practice Address - Fax:216-522-0420
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2049111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0959646Medicaid
OH34-1843997-00OtherBUREAU OF WORKERS COMP
OH341843997-027OtherCARESOURCE
OH000000140209OtherANTHEM BLUE CROSS BLUE SH
OH105520OtherKAISER
OH95202OtherSUMMACARE
OH105520OtherKAISER
OH34-1843997-00OtherBUREAU OF WORKERS COMP