Provider Demographics
NPI:1477588416
Name:KEMPER, ERICKA KATHLEEN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ERICKA
Middle Name:KATHLEEN
Last Name:KEMPER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 E 69TH ST STE 305
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-8322
Mailing Address - Country:US
Mailing Address - Phone:605-368-4323
Mailing Address - Fax:
Practice Address - Street 1:1601 E 69TH ST
Practice Address - Street 2:STE 305
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-8322
Practice Address - Country:US
Practice Address - Phone:605-368-4323
Practice Address - Fax:605-274-7070
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY373103TC0700X
SD444103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD6552023Medicaid
SD4993937OtherBLUECROSS BLUE SHIELD
SD33858OtherSANFORD HEALTH PLAN
SD444OtherDAKOTACARE
SDS101145Medicare UPIN