Provider Demographics
NPI:1508469578
Name:KEMPF, LAVITA
Entity Type:Individual
Prefix:
First Name:LAVITA
Middle Name:
Last Name:KEMPF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 173
Mailing Address - Street 2:
Mailing Address - City:SOUTH WEBSTER
Mailing Address - State:OH
Mailing Address - Zip Code:45682-0173
Mailing Address - Country:US
Mailing Address - Phone:740-778-2804
Mailing Address - Fax:
Practice Address - Street 1:421 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:SOUTH WEBSTER
Practice Address - State:OH
Practice Address - Zip Code:45682-4568
Practice Address - Country:US
Practice Address - Phone:740-778-2904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care